Dr. Laurence Antosz, PHD
Psychologist, Clinical in Middletown, Connecticut
1740335306- Practice location
- 363 Main St, Suite 405, Middletown, CT 06457-3359
- Phone
- 860-428-9842
- Fax
- 860-742-9634
- Last updated
- January 14, 2015
Laurence Antosz is a Psychologist, Clinical based in Middletown, CT. Laurence Antosz practices in Middletown, CT and has the professional credentials of PHD. The NPI Number for Laurence Antosz is 1740335306 and holds a License No. 1651 (CT). The current practice location address for Laurence Antosz is 363 Main St, Suite 405, Middletown, CT 06457-3359 and can be reached out via phone at 860-428-9842 and via fax at 860-742-9634.
Provider Profile Details
- NPI Number
- 1740335306
- Provider Name
- Laurence Antosz
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 363 Main St, Suite 405, Middletown, CT 06457-3359
- Phone Number
- 860-428-9842
- Fax Number
- 860-742-9634
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 24, 2007
- Last Update Date
- January 14, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 363 Main St
Suite 405
Middletown, CT 06457-3359 - City
- Middletown
- State
- Connecticut
- Zip
- 06457-3359
- Phone Number
- 860-428-9842
- Fax Number
- 860-742-9634
Provider Business Mailing Address Details
- Address
- 182 Twin Hills Dr
Coventry, CT 06238-1075 - City
- Coventry
- State
- CT
- Zip
- 06238-1075
- Phone Number
- 860-742-9634
- Fax Number
- 860-742-9634
License Information
- License Number
- 1651
- License State
- CT
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Laurence Antosz, PHD?
The NPI number of Dr. Laurence Antosz, PHD is 1740335306. It was assigned on January 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Laurence Antosz, PHD?
Dr. Laurence Antosz, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 1651.
Where does Dr. Laurence Antosz, PHD practice?
The practice location is 363 Main St, Suite 405, Middletown, CT 06457-3359. The office can be reached at 860-428-9842 (phone) or 860-742-9634 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740335306 directly on the NPPES registry website.