Individual
DR. AMANDA SURACE HANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
25 CHURCH ST FL 1, BRANFORD, CT 06405-3829
(570) 840-9910
Mailing address
25 CHURCH ST FL 1, BRANFORD, CT 06405-3829
(570) 840-9910
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003710
CT
Other
Enumeration date
11/17/2017
Last updated
12/04/2017
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