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Individual

DR. INGE-MARIE EIGSTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
207 STORRS RD, MANSFIELD CENTER, CT 06250-1638
(860) 456-4605
(860) 456-1738
Mailing address
207 STORRS RD, PO BOX 174, MANSFIELD CENTER, CT 06250-1638
(860) 456-4605
(860) 456-1738

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2675
CT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
2675
CT

Other

Enumeration date
06/07/2007
Last updated
09/11/2025
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