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Organization

KRISTINA HALLETT, PHD, ABPP. INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTINA HALLETT PHD, ABPP (OWNER)
(860) 965-1655
Entity
Organization

Contact information

Practice address
880 BURBANK AVE, SUFFIELD, CT 06078-1459
(860) 965-1655
(860) 668-4943
Mailing address
880 BURBANK AVE, SUFFIELD, CT 06078-1459
(860) 965-1655
(860) 668-4943

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002493
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008066110
CT
05
W50652
MA
Enumeration date
04/10/2017
Last updated
04/10/2024
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