| John M. Hintze, Ph.d. Llc | |
|
30 Wells Rd Ellington CT 06029-2112 | |
| (860) 559-8244 | |
| Not Available |
| Full Name | John M. Hintze, Ph.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 30 Wells Rd, Ellington, Connecticut |
| Authorized Official Name and Position | John Hintze (PSYCHOLOGIST) |
| Authorized Official Contact | 8602811419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M. Hintze, Ph.d. Llc 435 Buckland Rd South Windsor CT 06074-3720 Ph: (860) 281-1419 | John M. Hintze, Ph.d. Llc 30 Wells Rd Ellington CT 06029-2112 Ph: (860) 559-8244 |
| NPI Number | 1629521992 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629521992 | NPI | - | NPPES |
| 1407206774 | Other | CT | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 002184 (Connecticut) | Primary |
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