Individual
DR. MARK S BRAUNSDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
664 PROSPECT AVE, HARTFORD, CT 06105-4203
(860) 231-7072
(203) 272-7121
Mailing address
235 SCENIC CT, CHESHIRE, CT 06410-1853
(860) 231-7072
(203) 272-7121
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1739
CT
Other
Enumeration date
02/04/2007
Last updated
07/08/2007
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