Individual
DR. GAIL SOUTHARD CANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
81 S. MAIN ST, WEST HARTFORD, CT 06107
(860) 561-1530
Mailing address
81 S. MAIN ST, WEST HARTFORD, CT 06107
(860) 561-1530
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1275
CT
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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