Individual
DR. AMY THEOBALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
331 WETHERSFIELD AVE, HARTFORD, CT 06114-1420
(860) 297-0598
Mailing address
331 WETHERSFIELD AVE, HARTFORD, CT 06114-1420
(860) 297-0598
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002800
CT
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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