Organization
AVALON PSYCHOLOGICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S. BRAUNSDORF PHD (PRESIDENT)
(860) 558-1317
Entity
Organization
Contact information
Practice address
664 PROSPECT AVE, HARTFORD, CT 06105-4203
(860) 558-1317
Mailing address
664 PROSPECT AVE, HARTFORD, CT 06105-4203
(860) 558-1317
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1739
CT
Other
Enumeration date
01/28/2010
Last updated
01/07/2016
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