Individual
DR. SAMANTHA JOAN GIANGRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
1 CRYSTAL LAKE RD, GROTON, CT 06349-2300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4755
CT
103TC0700X
Clinical Psychologist
6301019009
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2018
Last updated
07/18/2024
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