Individual
HEATHER NICOLE BOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
43 SENECA RD, WEST HARTFORD, CT 06117-2246
(201) 417-9400
Mailing address
43 SENECA RD, WEST HARTFORD, CT 06117-2246
(201) 417-9400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4055
CT
103T00000X
Psychologist
PS018526
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/16/2011
Last updated
06/26/2024
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