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BASIL ANTON PH.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1063563377

Individual Registrant:
 BASIL  ANTON PH.D.
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

Contact information for business:
908 S MERIDEN RD  CHESHIRE, CT 06410-1863 US
Tel: 203-272-0353  Fax: 203-271-3243

Registration Information:
NPI: 1063563377
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CT001366

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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