Ellen A Dornelas PHD

NPI 1083627608 - Psychologist - 103TC0700X

NPI Details
NPI 1083627608
Gender Female
Enumeration Date 08/14/2006
Last Updated 07/23/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
80 SEYMOUR STREET
HARTFORD HOSPITAL ONCOLOGY DEPG
HARTFORD CT, 06102-5037, US
Phone (860) 545-3790
Fax
Business Location
PO BOX 415933
HARTFORD HOSPITAL PROFESSIONAL SERVICES
BOSTON MA, 02241-5933, US
Phone (860) 545-7602
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Connecticut
License Number 002046
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According to our database, Ellen A Dornelas PHD NPI is 1083627608, taxonomy code is 103TC0700X and license number is 002046, license state is located at Connecticut. Ellen A Dornelas PHD physically located at 80 Seymour Street, Hartford CT, 06102-5037. NPI Number Ellen A Dornelas PHD has the Individual type.

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1083627608 NPI number is provided on an as is basis without warranty of any kind. 1083627608 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen A Dornelas PHD are for informational purposes only.