RANDALL WALLACE
Psychologist


Address: 40 Mountain Rd, West Hartford, CT 06107-2913

RANDALL WALLACE (Credential# 790869) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is APPROVED.

Business Overview

RANDALL WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.002544. The credential type is psychologist. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 40 Mountain Rd, West Hartford, CT 06107-2913. The current status is approved.

Basic Information

Licensee Name RANDALL WALLACE
Credential ID 790869
Credential Number 8.002544
Credential Type Psychologist
Business Address 40 Mountain Rd
West Hartford
CT 06107-2913
Business Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 2004-01-16
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-06-17

Office Location

Street Address 40 MOUNTAIN RD
City WEST HARTFORD
State CT
Zip Code 06107-2913

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jenna M Marshall 60 Mountain Rd, West Hartford, CT 06107-2913 Speech and Language Pathologist 2020-04-01 ~ 2021-03-31
Joshua Ryor 12 Mountain Rd, West Hartford, CT 06107-2913 Home Improvement Salesperson ~

Licenses in the same zip code

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Rebecca L Stansfield 73 Tunxis Road, West Hartford, CT 06107 Registered Nurse 2020-09-01 ~ 2021-08-31
Kumari Joshi 44 Bentwood Rd, West Hartford, CT 06107 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Laurie C Caines Md 205 Stoner Drive, West Hartford, CT 06107 Physician/surgeon 2020-07-01 ~ 2021-06-30
Nicole K. Edlund 11 Greenacres Avenue, West Hartford, CT 06107 Master's Level Social Worker - Temporary Permit ~
Andrea M Yuliano 39 Mountain Terrace Road, West Hartford, CT 06107 Registered Nurse 2020-07-01 ~ 2021-06-30
Elizabeth M Ineson 4 Linwold Dr, West Htfd, CT 06107 Architect 2020-08-01 ~ 2021-07-31
Sarah G Potter 19 Westland Ave, West Hartford, CT 06107 Registered Nurse 2020-09-01 ~ 2021-08-31
Jessica C Abreu 14 Deepwood Lane, West Hartford, CT 06107 Real Estate Salesperson 2020-06-18 ~ 2021-05-31
William C Richter 67 Hillsboro Drive, West Hartford, CT 06107 Architect 2020-08-01 ~ 2021-07-31
Teresa M Stanton 25 Common Dr., West Hartford, CT 06107 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WEST HARTFORD
Zip Code 06107
License Type Psychologist
License Type + County Psychologist + WEST HARTFORD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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