Organization
ADULT AND ADOLESCENT PSYCHOLOGICAL SERVICES, LLC
Active
Organization
ADULT AND ADOLESCENT PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA DEITER-SANDS PH.D. (LICENSED PSYCHOLOGIST)
(860) 633-7882
Entity
Organization
Contact information
Practice address
78 EASTERN BLVD, SUITE 4, GLASTONBURY, CT 06033-4325
(860) 633-7882
(860) 659-1999
Mailing address
78 EASTERN BLVD, GLASTONBURY, CT 06033-4325
(860) 633-7882
(860) 659-1999
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2083
CT
Other
Enumeration date
06/11/2006
Last updated
12/28/2011
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