NPI 1871338814

Whitney Southall

Practitioner Other Specialist/Technologist Berlin, CT

Practice location

Address: 369 New Britain Rd STE C, Berlin, CT 06037-1351
Phone: (860) 543-0618
Mailing address: 38 Burnside Ave, Plainville, CT 06062-2806

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 610 (CT)

Other Specialist/Technologist, Other providers in Connecticut →

Registry record

NPI: 1871338814
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2024
Record last updated: 1 Jul 2024

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.