| Doctor Name: | ANDRE P. BESSETTE |
| NPI Number: | 1205972528 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 002738 |
| Business Practice Address: | 155a Storrs Rd. A Mansfield Center, CT - 06250 |
| Business Phone Number: | 8604564442 |
| Business Fax Number: | 8604564068 |
| Mailing Address: | 83 E Quasset Rd, WOODSTOCK |
| State: | CT |
| Postal Code: | 062813306 |
| Phone Number: | 8609336697 |
| Fax Number: | 8604564068 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 002738 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |