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Individual

MICHELLE B MIRSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106-3309
(860) 545-7940
Mailing address
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106-3309
(860) 545-7940

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003414
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003414
STATE LICENSE
CT
Enumeration date
01/27/2014
Last updated
02/17/2025
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