Most Relevant Information
Provider Data
| NPI Number: | 1003820101 |
| Provider Name: | REUBEN TAYLOR SPITZ PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 2273 |
Most Important Dates
| Enumeration Date: | 07/27/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
567 VAUXHALL STREET EXT
SUITE 203
WATERFORD
CT
063854330
Practice Location Phone/Fax
| Phone: | 8606084170 |
| Fax: | 8604471815 |
Provider Mailing Location
567 VAUXHALL STREET EXT
SUITE 203
WATERFORD
CT
063854330
Provider Mailing Phone/Fax
| Phone: | 8606084170 |
| Fax: | 8604471815 |