Provider Demographics
NPI:1427265610
Name:POLLOCK, ALMA HARWARD (LICENSED PROFESSIONA)
Entity type:Individual
Prefix:MS
First Name:ALMA
Middle Name:HARWARD
Last Name:POLLOCK
Suffix:
Gender:F
Credentials:LICENSED PROFESSIONA
Other - Prefix:MS
Other - First Name:ALMA
Other - Middle Name:LIPPINCOTT
Other - Last Name:HARWARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:244 EDWARDS ST
Mailing Address - Street 2:APT 1
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511
Mailing Address - Country:US
Mailing Address - Phone:860-912-6799
Mailing Address - Fax:
Practice Address - Street 1:91 NORTHWEST DRIVE
Practice Address - Street 2:THE WHEELER CLINIC
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062
Practice Address - Country:US
Practice Address - Phone:860-793-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001454101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional