Individual
MRS. PAMELA FADAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1007 FARMINGTON AVENUE, SUITE 5, WEST HARTFORD, CT 06107
(860) 586-8167
(860) 586-8192
Mailing address
8 KEYSTONE CIRCLE, AVON, CT 06001
(860) 677-0817
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002764
CT
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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