Individual
DR. SANDRA E. HARTDAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
148 EASTERN BLVD, GLASTONBURY, CT 06033-4321
(860) 652-3687
Mailing address
282 OAK ST, SOUTH WINDSOR, CT 06074-2342
(860) 648-9400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001580
CT
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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