Whalio Doctors

NPI 1144305079

Joseph E Struckus, PHD

Practitioner Clinical Neuropsychologist New Preston, CT

Practice location

Address
10 Main Street, New Preston, CT 06777-2219
Phone
(860) 868-9000
Fax
(860) 868-0055
Mailing address
10 Main Street P.O. Box 2219, New Preston, CT 06777-2219

Registered specialties

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 001640 (CT)

Registry record

NPI
1144305079
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Oct 2006
Record last updated
8 Jul 2007

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.