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Individual

DR. RANDI SCHNUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
26 CHAMBERLAIN HWY, KENSINGTON, CT 06037-1921
(860) 893-0040
(860) 893-0046
Mailing address
26 CHAMBERLAIN HWY, KENSINGTON, CT 06037-1921
(860) 893-0040
(860) 893-0046

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
001722
CT
103TC0700X
Clinical Psychologist
Primary
001722
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004133774
CT
01
060001722CT02
ANTHEM BC/BS
01
080194
MHN
01
134311
VALUE OPTIONS
01
4459559
AETNA
01
P382518
OXFORD
Enumeration date
08/30/2006
Last updated
09/30/2021
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