Individual
FAZEELA MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 WOODLAND ST, HARTFORD, CT 06105-2363
(888) 793-3500
Mailing address
231 OCEAN AVE APT 5J, BROOKLYN, NY 11225-5529
(716) 507-9342
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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