Individual
DR. MICHAEL JAMES MORAVECEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
24 WOODS RUN, FARMINGTON, CT 06032-2731
(860) 305-1593
Mailing address
24 WOODS RUN, FARMINGTON, CT 06032-2731
(860) 305-1593
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002900
CT
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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