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Individual

DR. AMY ELIZABETH USTJANAUSKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3020 CHILDRENS WAY, MC 5018, SAN DIEGO, CA 92123-4223
(860) 716-4339
(858) 966-6733
Mailing address
PO BOX 270623, WEST HARTFORD, CT 06127-0623

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004018
CT
103T00000X
Psychologist
PSY33228
CA

Other

Enumeration date
06/21/2016
Last updated
06/16/2022
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