Individual
JOHN HINTZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
30 WELLS RD, ELLINGTON, CT 06029-2112
(860) 559-8244
Mailing address
30 WELLS RD, ELLINGTON, CT 06029-2112
(860) 559-8244
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002184
CT
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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