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Individual

DR. LEONARD C SUCHOTLIFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
7 CHESTNUT HILL RD, WEST HARTFORD, CT 06107-3151
(860) 216-6652
(860) 216-6652
Mailing address
7 CHESTNUT HILL RD, WEST HARTFORD, CT 06107-3151
(860) 216-6652
(860) 216-6652

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00394
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0040007456
CT
Enumeration date
07/21/2006
Last updated
10/08/2010
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