| Avalon Psychological Group, P.c. | |
|
664 Prospect Ave Hartford CT 06105-4203 | |
| (860) 558-1317 | |
| Not Available |
| Full Name | Avalon Psychological Group, P.c. |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 664 Prospect Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Mark S. Braunsdorf (PRESIDENT) |
| Authorized Official Contact | 8605581317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Psychological Group, P.c. 664 Prospect Ave Hartford CT 06105-4203 Ph: (860) 558-1317 | Avalon Psychological Group, P.c. 664 Prospect Ave Hartford CT 06105-4203 Ph: (860) 558-1317 |
| NPI Number | 1245561463 |
|---|---|
| Provider Enumeration Date | 01/28/2010 |
| Last Update Date | 01/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245561463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 1739 (Connecticut) | Primary |
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