Individual
DR. SARAH DIANE LICHENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617
(203) 680-0361
Mailing address
2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
025790
NY
103T00000X
Psychologist
Primary
3923
CT
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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