Organization
JOHN M. HINTZE, PH.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HINTZE PH.D. (PSYCHOLOGIST)
(860) 281-1419
Entity
Organization
Contact information
Practice address
30 WELLS RD, ELLINGTON, CT 06029-2112
(860) 559-8244
Mailing address
435 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3720
(860) 281-1419
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002184
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407206774
NPI TYPE 1
CT
Enumeration date
08/03/2016
Last updated
08/03/2016
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