| Glastonbury Pediatric Neuropsychology | |
|
78 Eastern Blvd Glastonbury CT 06033-4325 | |
| (860) 430-2736 | |
| Not Available |
| Full Name | Glastonbury Pediatric Neuropsychology |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 78 Eastern Blvd, Glastonbury, Connecticut |
| Authorized Official Name and Position | Krista Mraz (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8604302736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glastonbury Pediatric Neuropsychology 78 Eastern Blvd Glastonbury CT 06033-4325 Ph: (860) 430-2736 | Glastonbury Pediatric Neuropsychology 78 Eastern Blvd Glastonbury CT 06033-4325 Ph: (860) 430-2736 |
| NPI Number | 1043007792 |
|---|---|
| Provider Enumeration Date | 04/24/2025 |
| Last Update Date | 04/24/2025 |
| Certification Date | 04/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043007792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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