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DAVID N BELLAS PHD

Clinical Neuropsychologist

New London, Connecticut

Provider NPI: 1407869480

Provider Information:
 DAVID N BELLAS PHD
Gender: M
Not Sole Proprietor

Practice Location:
365 MONTAUK AVE  NEW LONDON, CT 06320 US
Tel: 860-442-0711  Fax: 860-444-4703

Business Mailing Address:
365 MONTAUK AVE  NEW LONDON, CT 06320 US
Tel: 860-442-0711  Fax: 860-444-4703

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CT001652

Other Provider Identifiers:

IssuerNumberStateType
4024972CT05
TRICARE06-064670401
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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