Dr. Laurence Antosz, Ph.D.
Psychologist, Clinical in Middletown, CT. Individual provider (NPI-1).
NPI number1740335306
StatusActive
Last updated in NPPESJan 14, 2015
Details
- NPI
- 1740335306
- Entity type
- Individual (NPI-1)
- Name
- Dr. Laurence Antosz
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2007
- Last updated
- Jan 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1651 | CT | Yes |
Practice location
363 Main StSuite 405
Middletown, CT 06457-3359
Phone 860-428-9842 · Fax 860-742-9634
Mailing address
182 Twin Hills DrCoventry, CT 06238-1075
Phone 860-742-9634 · Fax 860-742-9634
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