Individual
LANCE R HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1 S MAIN ST, #2, BRANFORD, CT 06405-3872
(203) 488-3078
Mailing address
1 S MAIN ST, #2, BRANFORD, CT 06405-3872
(203) 488-3078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000576
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060000576CT01
ANTHEM
CT
Enumeration date
09/15/2005
Last updated
07/08/2007
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