Individual
LAWRENCE C HABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106
(860) 545-7665
Mailing address
125 LASALLE RD STE HARTFORD, WEST HARTFORD, CT 06107-2322
(860) 788-5467
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002390
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008023905
—
CT
Enumeration date
07/20/2006
Last updated
11/09/2021
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