Individual
DR. MARLENA MINKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA
Contact information
Practice address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
(860) 430-1762
Mailing address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
(860) 430-1762
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4745
CT
Other
Enumeration date
03/08/2024
Last updated
04/17/2024
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