Individual
SUSAN ELIZABETH D'AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
79 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106-2527
(860) 972-0200
Mailing address
79 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106-2527
(860) 972-0200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002626
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008026262
—
CT
Enumeration date
06/22/2006
Last updated
11/01/2016
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