Organization
UNITED STATES AIR FORCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON DION CHANCE M.A. (CLINICAL PSYCHOLOGY DOCTORAL STUDEN)
(203) 347-5504
Entity
Organization
Contact information
Practice address
15 HIGHLAND ST APT 102, WEST HARTFORD, CT 06119-1300
(203) 347-5504
Mailing address
15 HIGHLAND ST APT 102, WEST HARTFORD, CT 06119-1300
(203) 347-5504
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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