Lyn M Balsamo, Ph D.
Psychologist, Clinical in Middletown, CT. Individual provider (NPI-1).
NPI number1487615258
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1487615258
- Entity type
- Individual (NPI-1)
- Name
- Lyn M Balsamo
- Credential
- Ph D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 002618 | CT | Yes |
Practice location
8 Crescent StMiddletown, CT 06457-3602
Phone 860-344-6394 · Fax 860-344-6748
Mailing address
28 Crescent StMiddletown, CT 06457-3654
Phone 860-344-6394 · Fax 860-344-6748
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