Individual
KENT SUNDERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
675 MAIN STREET, MIDDLETOWN, CT 06457-2632
(860) 347-6971
(860) 704-8034
Mailing address
675 MAIN STREET, MIDDLETOWN, CT 06457-2632
(860) 347-6971
(860) 704-8034
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3559
CT
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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