Individual
ELIZABETH LAUREN COURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
828 FEDERAL RD STE B, BROOKFIELD, CT 06804-1847
(800) 237-0397
Mailing address
152 EAST ST FL 1, NORTH GRANBY, CT 06060-1514
(860) 861-1156
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3361
CT
103TC0700X
Clinical Psychologist
Primary
022448
NY
163W00000X
Registered Nurse
219348
CT
Other
Enumeration date
07/06/2009
Last updated
07/15/2024
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