IndividualActive
Brian Lussier, PH.D.
NPI 1194333823 · Clinical Child & Adolescent Psychologist · Terryville, CT
Provider details
- NPI number
- 1194333823
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 002173 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
15 Preston Rd
Terryville, CT 06786-4209
Phone: (860) 940-0321
Approximate (ZIP-level) locationGet directions
Mailing address
15 Preston Rd
Terryville, CT 06786-4209
Registry dates
- Enumerated
- 2020-07-20
- Last updated
- 2020-07-20
- Certified
- 2020-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.