Most Relevant Information
Provider Data
| NPI Number: | 1003196122 |
| Provider Name: | JOSHUA STEPHEN BULLOCK PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PS01241 |
Most Important Dates
| Enumeration Date: | 08/20/2011 |
| Last Updated: | 08/20/2011 |
Provider Practice Location
114 BOSTON POST RD
2ND FLOOR
WEST HAVEN
CT
065162043
Practice Location Phone/Fax
| Phone: | 2034798000 |
| Fax: | 2034798001 |
Provider Mailing Location
114 BOSTON POST RD
2ND FLOOR
WEST HAVEN
CT
065162043
Provider Mailing Phone/Fax
| Phone: | 2034798000 |
| Fax: | 2034798001 |