Individual
MARIAN SANTANDREU MIRABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
132 JEFFERSON STREET, HARTFORD, CT 06106
(860) 972-0200
Mailing address
125 LIBERTY ST STE 102, SPRINGFIELD, MA 01103-1109
(413) 200-4110
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4020
CT
103TC0700X
Clinical Psychologist
9906
MA
Other
Enumeration date
09/14/2011
Last updated
07/29/2022
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