Organization
HARTFORD PSYCHOLOGICAL SERVICES LLC.
Active
Organization
HARTFORD PSYCHOLOGICAL SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL MORA DE JESUS PH.D. (DIRECTOR)
(860) 296-0094
Entity
Organization
Contact information
Practice address
191 FRANKLIN AVE, SUITE NUMBER 3, HARTFORD, CT 06114-1386
(860) 296-0094
(860) 296-7125
Mailing address
191 FRANKLIN AVE, SUITE NUMBER 3, HARTFORD, CT 06114-1386
(860) 296-0094
(860) 296-7125
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001877
CT
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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