AMY THEOBALD
Psychologist


Address: 15 Jones St Apt 1e, New York, NY 10014-4178

AMY THEOBALD (Credential# 791125) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2015. The license expiration date date is July 31, 2016. The license status is INACTIVE.

Business Overview

AMY THEOBALD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.002800. The credential type is psychologist. The effective date is August 1, 2015. The expiration date is July 31, 2016. The business address is 15 Jones St Apt 1e, New York, NY 10014-4178. The current status is inactive.

Basic Information

Licensee Name AMY THEOBALD
Credential ID 791125
Credential Number 8.002800
Credential Type Psychologist
Business Address 15 Jones St Apt 1e
New York
NY 10014-4178
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-08-10
Effective Date 2015-08-01
Expiration Date 2016-07-31
Refresh Date 2016-11-03

Office Location

Street Address 15 JONES ST APT 1E
City NEW YORK
State NY
Zip Code 10014-4178

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City NEW YORK
Zip Code 10014
License Type Psychologist
License Type + County Psychologist + NEW YORK

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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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