Individual
DR. HEATHER MARIE GAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
391 SHAKER RD, ENFIELD, CT 06082-2376
(860) 763-6183
Mailing address
391 SHAKER RD, ENFIELD, CT 06082-2376
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
002747
CT
103TC0700X
Clinical Psychologist
Primary
016471
NY
Other
Enumeration date
03/06/2007
Last updated
03/14/2011
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