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Individual

DR. G. GRANT HOLTZBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
345 N MAIN ST, SUITE 302, WEST HARTFORD, CT 06117-2515
(860) 233-9772
(860) 236-9402
Mailing address
345 N MAIN ST, SUITE 302, WEST HARTFORD, CT 06117-2515
(860) 233-9772
(860) 236-9402

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1538
CT

Other

Enumeration date
07/25/2006
Last updated
07/08/2007
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