Individual
ALYSE C DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(860) 545-7680
(860) 545-7510
Mailing address
200 RETREAT AVE, FULLER BULDING, FIRST FLOOR, HARTFORD, CT 06106-3309
(860) 545-7680
(860) 545-7510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3789
CT
Other
Enumeration date
09/27/2018
Last updated
10/18/2018
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