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DR. GINA LYNN ABBOTT PHD

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

Registrant NPI Number: 1033402086

Individual Registrant:
DR. GINA LYNN ABBOTT PHD
Gender: F
Sole Proprietor

Location and contact information for practice:
290 HIGHLAND AVE STE 2  CHESHIRE, CT 06410 US
Tel: 203-910-6142  Fax: 203-250-1800

Contact information for business:
290 HIGHLAND AVE STE 2  CHESHIRE, CT 06410-2564 US
Tel: 203-910-6142  Fax: 203-250-1800

Registration Information:
NPI: 1033402086
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CT002601

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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