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DR. MICHELLE BOBULINSKI PH.D.

>> Specialist >> Other Service Providers

Registrant NPI Number: 1346245420

Individual Registrant:
DR. MICHELLE  BOBULINSKI PH.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
HHC CHASE MOVEMENT DISORDERS CENTER, AYERS NEUROSCIENCE 35 TALCOTTVILLE ROAD SUITE 6 VERNON, CT 06066 US
Tel: 860-870-6385  Fax: 860-870-0622

Contact information for business:
1202 LARSON DR  DANBURY, CT 06810-7379 US
Tel: 203-743-3973  Fax: --

Registration Information:
NPI: 1346245420
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N174400000XOther Service Providers
Specialist
CTCT002359
N2084N0400XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
CTCT002359
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CTCT002359

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AETNA7226563CT01
ANTHEM060002359CT01CT01




HEALTH CARE JOBS CT - Page 1



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