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MR. MATTHEW JOHN ABBOTT MSW
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1790734986
Individual Registrant:MR. MATTHEW JOHN ABBOTT MSW
Gender: M
Gender: M
Location and contact information for practice:
871 STATE ST NEW HAVEN, CT 06511-3923 US
Tel: 203-787-2111 Fax: 203-397-9077
Tel: 203-787-2111 Fax: 203-397-9077
Contact information for business:
40 CORTINA RD EAST HAVEN, CT 06513-1305 US
Tel: 203-466-3153 Fax: --
Tel: 203-466-3153 Fax: --
Registration Information:
NPI: 1790734986
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 101Y00000X | Behavioral Health & Social Service Providers Counselor | ||
| X | 101YA0400X | Behavioral Health & Social Service Providers Counselor | ||
| X | 101YM0800X | Behavioral Health & Social Service Providers Counselor | ||
| X | 104100000X | Behavioral Health & Social Service Providers Social Worker |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
