Rebecca Chaison Christian-Parilla, PH.D.

Individual provider Active NPI Clinical Psychologist · New Preston, CT

NPI 1275615163 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1275615163
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
2404 (CT)
Practice address
10 Main St
New Preston, CT 06777-1716
Phone
(860) 868-2300
Fax
(860) 868-0055
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2404CTMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2404 CT Yes

Addresses

Primary practice location

10 Main St
New Preston, CT 06777-1716

Mailing address

10 Main St
P.O. Box 2219
New Preston, CT 06777-1716
Phone (860) 868-2300

Other providers in New Preston, CT

All providers in New Preston, CT · Clinical Psychologist in Connecticut

Sources for this page

Verify at the official NPI Registry.