Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 001971 | CT |
Y | 103TC0700X | Clinical Psychologist | 001971 | CT |
NPI | 1013021393 |
---|---|
Provider Name | Howard J Oakes JR. |
First Address | Hartford, CT 06151-0634 |
Second Address | Hartford, CT 06106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 26/02/2008 |