Individual
DR. GINA C VICE HLAVACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
324 GREENBRIAR DR, CHESHIRE, CT 06410-2224
(860) 539-6682
(860) 793-3520
Mailing address
324 GREENBRIAR DRIVE, CHESHIRE, CT 06410
(203) 271-2878
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002714
CT
Other
Enumeration date
11/16/2006
Last updated
11/15/2018
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