Individual
DR. MALINDA ANN HENNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
190 ALDEN AVE, NEW HAVEN, CT 06515-2112
(203) 389-6467
Mailing address
190 ALDEN AVE, NEW HAVEN, CT 06515-2112
(203) 389-6467
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1069
CT
Other
Enumeration date
02/16/2006
Last updated
07/08/2007
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