Doctor Name: | DR. RITA W. MCCLEARY |
NPI Number: | 1013060102 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 001544 |
Business Practice Address: | 258 Bradley St New Haven, CT - 065101106 |
Business Phone Number: | 2037774045 |
Business Fax Number: | |
Mailing Address: | 258 Bradley St, NEW HAVEN |
State: | CT |
Postal Code: | 065101106 |
Phone Number: | 2037774045 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |