SHIVA REZVAN
Psychologist


Address: 140 Hoyt St Apt 2l, Stamford, CT 06905-5784

SHIVA REZVAN (Credential# 1218087) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.

Business Overview

SHIVA REZVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.003650. The credential type is psychologist. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 140 Hoyt St Apt 2l, Stamford, CT 06905-5784. The current status is active.

Basic Information

Licensee Name SHIVA REZVAN
Credential ID 1218087
Credential Number 8.003650
Credential Type Psychologist
Business Address 140 Hoyt St Apt 2l
Stamford
CT 06905-5784
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-05-04
Effective Date 2019-10-01
Expiration Date 2020-09-30
Refresh Date 2019-09-04

Office Location

Street Address 140 HOYT ST APT 2L
City STAMFORD
State CT
Zip Code 06905-5784

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Competitor

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City STAMFORD
Zip Code 06905
License Type Psychologist
License Type + County Psychologist + STAMFORD

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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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