| Doctor Name: | CHETAN JOSHI |
| NPI Number: | 1548681927 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D |
| License Number: | 003339 |
| Business Practice Address: | 234 Glenbrook Rd Unit 4011 Storrs, CT - 062694011 |
| Business Phone Number: | 8604864705 |
| Business Fax Number: | 8604869159 |
| Mailing Address: | 337 Mansfield Rd Unit 1255, C/o Irene Benza STORRS |
| State: | CT |
| Postal Code: | 062691255 |
| Phone Number: | 8604864705 |
| Fax Number: | 8604869159 |
| NPI Enumeration Date: | 01/02/2014 |
| NPI Last Update Date: | 01/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 003339 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |