Individual
DR. LISA A. KUNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
784 FARMINGTON AVE, WEST HARTFORD, CT 06119-1619
(860) 523-4450
Mailing address
PO BOX 1027, WINDSOR, CT 06095-6127
(860) 683-1047
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2079
CT
Other
Enumeration date
08/21/2006
Last updated
12/12/2009
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