Individual
MARISSA SICLEY-ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
200 RETREAT AVE BLDG 5TH, HARTFORD, CT 06106-3309
(860) 545-7058
Mailing address
211 NELSON ST, CHICOPEE, MA 01013-3543
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3715
CT
Other
Enumeration date
12/05/2017
Last updated
01/16/2018
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