Individual
JENNIFER SUE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
675 TOWER AVE, SUITE 301, HARTFORD, CT 06112-1273
(860) 714-2750
(860) 714-8591
Mailing address
675 TOWER AVE, SUITE 301, HARTFORD, CT 06112-1273
(860) 714-2750
(860) 714-8591
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002755
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007703236
—
VA
Enumeration date
10/12/2006
Last updated
09/22/2022
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