Individual
DR. MAXINE L VARANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-4966
(860) 694-3388
Mailing address
1364 PEQUOT TRL, STONINGTON, CT 06378-1931
(860) 326-1797
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002636
CT
Other
Enumeration date
03/02/2012
Last updated
03/30/2020
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