Most Relevant Information
Provider Data
| NPI Number: | 1003598087 |
| Provider Name: | NICHOLAS ANDREW VISSICCHIO PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 4433 |
Most Important Dates
| Enumeration Date: | 08/01/2023 |
| Last Updated: | 08/01/2023 |
Provider Practice Location
950 CAMPBELL AVE
WEST HAVEN
CT
065162770
Practice Location Phone/Fax
| Phone: | 2039325711 |
| Fax: |
Provider Mailing Location
51 RIVERSIDE DR
BRANFORD
CT
064053950
Provider Mailing Phone/Fax
| Phone: | 2036403650 |
| Fax: |