Individual
DR. ANNE R VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2446 ALGANY AVENUE, WEST HARTFORD, CT 06117
(860) 523-8830
(860) 233-7716
Mailing address
2446 ALGANY AVENUE, WEST HARTFORD, CT 06117
(860) 523-8830
(860) 233-7716
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001268
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022266
MHN
—
01
—
060001268CT01
ANTHEM
—
Enumeration date
08/04/2006
Last updated
07/08/2007
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