Individual
DR. VANESSA BRODIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
395 W AVON RD STE 1, AVON, CT 06001
(862) 277-0227
Mailing address
29 CANTERBURY LN, AVON, CT 06001-4509
(862) 277-0227
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
021358-1
NY
103T00000X
Psychologist
35SI00537700
NJ
103T00000X
Psychologist
Primary
3855
CT
Other
Enumeration date
02/01/2016
Last updated
10/24/2019
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