Individual
DR. MITCHELL DANITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
45 S MAIN ST, STE 110, WEST HARTFORD, CT 06107-2402
(860) 231-7227
(860) 231-7227
Mailing address
45 S MAIN ST, STE 110, WEST HARTFORD, CT 06107-2402
(860) 231-7227
(860) 231-7227
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001530
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004109098
—
CT
Enumeration date
09/29/2006
Last updated
02/06/2018
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