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BASIL ANTON PH.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1063563377
Individual Registrant: BASIL ANTON PH.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
908 S MERIDEN RD CHESHIRE, CT 06410-1863 US
Tel: 203-272-0353 Fax: 203-271-3243
Tel: 203-272-0353 Fax: 203-271-3243
Contact information for business:
908 S MERIDEN RD CHESHIRE, CT 06410-1863 US
Tel: 203-272-0353 Fax: 203-271-3243
Tel: 203-272-0353 Fax: 203-271-3243
Registration Information:
NPI: 1063563377
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | CT | 001366 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
