Healthcare Provider Details

I. General information

NPI: 1962503821
Provider Name (Legal Business Name): DAVID F TOLIN PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 RETREAT AVE
HARTFORD CT
06106-3309
US

IV. Provider business mailing address

200 RETREAT AVE
HARTFORD CT
06106-3309
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-7685
  • Fax:
Mailing address:
  • Phone: 860-545-7685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number002310
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2310
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: