Individual
JESSICA WALKER GUITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
100 RETREAT AVENUE, 5TH FLOOR, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106-3310
(860) 837-5206
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003237
CT
103TC0700X
Clinical Psychologist
PS015523
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008032377
—
CT
Enumeration date
08/23/2006
Last updated
12/07/2012
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