Individual
DR. MARJI VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1038 FARMINGTON AVE, WEST HARTFORD, CT 06107-2109
(860) 313-1119
Mailing address
1022 FARMINGTON AVE, WEST HARTFORD, CT 06107-2105
(860) 521-8035
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002529
CT
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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