Individual
DR. JEFFREY J. MAGNAVITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 HEBRON AVE, SUITE 215, GLASTONBURY, CT 06033-2176
(860) 659-1202
(860) 657-1535
Mailing address
300 HEBRON AVE., SUITE 215, GLASTONBURY, CT 06033-0651
(860) 659-1202
(860) 657-1535
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1008
CT
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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