The Avalon Psychological Group, P.c.

NPI 1245561463 - Psychologist - 103TC1900X

NPI Details
NPI 1245561463
Enumeration Date 01/28/2010
Last Updated 01/07/2016
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARK S. MARK
Position PRESIDENT
Phone (860) 558-1317
Fax
Practice Location
664 PROSPECT AVE
HARTFORD CT, 06105-4203, US
Phone (860) 558-1317
Fax
Business Location
664 PROSPECT AVE
HARTFORD CT, 06105-4203, US
Phone (860) 558-1317
Fax
Toxanomy
Taxonomy Code 103TC1900X
License State Connecticut
License Number 1739
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According to our database, The Avalon Psychological Group, P.c. NPI is 1245561463, taxonomy code is 103TC1900X and license number is 1739, license state is located at Connecticut. The Avalon Psychological Group, P.c. physically located at 664 Prospect Ave, Hartford CT, 06105-4203. NPI Number 1033115704 has the healthcare provider type.

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1245561463 NPI number is provided on an as is basis without warranty of any kind. 1245561463 is maintained by the National Plan & Provider Enumeration System. The contents of The Avalon Psychological Group, P.c. are for informational purposes only.