Individual
DR. JACQUELINE GUAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-4212
(860) 714-8080
Mailing address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-4212
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002876
CT
103TC2200X
Clinical Child & Adolescent Psychologist
7187181
NY
Other
Enumeration date
01/19/2011
Last updated
07/08/2021
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