NPI 1003196122

Joshua Stephen Bullock, PHD

Practitioner Clinical Psychologist West Haven, CT

Practice location

Address: 114 Boston Post Rd 2nd Floor, West Haven, CT 06516-2043
Phone: (203) 479-8000
Fax: (203) 479-8001

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS01241 (RI)

Other Psychologist providers in Connecticut →

Registry record

NPI: 1003196122
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2011
Record last updated: 20 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.