Individual
MARA MADELEINE DEMAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106-3310
(860) 545-7665
Mailing address
PO BOX 415933, HARTFOR HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002947
CT
Other
Enumeration date
02/04/2010
Last updated
10/14/2010
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