Healthcare Provider Details

I. General information

NPI: 1295646560
Provider Name (Legal Business Name): GAIL CORNEAU, PHD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 S MAIN ST STE 209
WEST HARTFORD CT
06107-2403
US

IV. Provider business mailing address

61 S MAIN ST STE 209
WEST HARTFORD CT
06107-2403
US

V. Phone/Fax

Practice location:
  • Phone: 860-507-9876
  • Fax:
Mailing address:
  • Phone: 860-507-9876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. GAIL CORNEAU
Title or Position: PSYCHOLOGIST AND OWNER
Credential: PHD
Phone: 860-507-9876