Doctor Name: | DR. JOANNE ELENA COMSTOCK |
NPI Number: | 1033340302 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 002949 |
Business Practice Address: | 249 Winsted Rd Wcmhn-torrington Torrington, CT - 067902958 |
Business Phone Number: | 8604963779 |
Business Fax Number: | 8604963868 |
Mailing Address: | 249 Winsted Rd, Wcmhn-torrington TORRINGTON |
State: | CT |
Postal Code: | 067902958 |
Phone Number: | 8604963779 |
Fax Number: | 8604963868 |
NPI Enumeration Date: | 08/04/2009 |
NPI Last Update Date: | 08/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 002949 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |