LARRY IRA GILLMAN NPI 1740655737

NPI Information

Larry Ira Gillman is a counselor in Newington, CT. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Larry Ira Gillman NPI is 1740655737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

33 AUGUSTA DR
NEWINGTON, CT
ZIP 06111-502
Phone: (860) 666-5805

The enumeration date for this NPI number is 12/2/2015 and was last updated on 12/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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