Individual
MICHELLE A BRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
675 TOWER AVE, SUITE 301, HARTFORD, CT 06112-1273
(860) 714-2750
(860) 714-8591
Mailing address
675 TOWER AVE, SUITE 301, HARTFORD, CT 06112-1273
(860) 714-2750
(860) 714-8591
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
002344
CT
103TC0700X
Clinical Psychologist
Primary
002344
CT
Other
Enumeration date
10/17/2006
Last updated
03/15/2017
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