Individual
DR. MARC HILLBRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1062 BARNES RD, SUITE 204, WALLINGFORD, CT 06492-6012
(203) 294-0094
(860) 262-5477
Mailing address
1062 BARNES RD, SUITE 204, WALLINGFORD, CT 06492-6012
(203) 294-0094
(860) 262-5477
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1402
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001402CT01
ANTHEM BCBS PRACTICE ID
CT
Enumeration date
11/21/2006
Last updated
07/08/2007
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