Dr. Sandra E. Hartdagen
Clinical Psychologist
148 Eastern Blvd
Glastonbury
, Connecticut 06033-4321
Dr. Sandra E. Hartdagen
Clinical Psychologist
148 Eastern Blvd
Glastonbury
, Connecticut 06033-4321
(860) 648-9400
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Sandra E. Hartdagen
- 282 Oak St
- South Windsor, CT
- Zip : 06074-2342
- Phone : (860) 648-9400
Second Address
- Dr. Sandra E. Hartdagen
- 148 Eastern Blvd
- Glastonbury, CT
- Zip : 06033-4321
- Phone : (860) 652-3687
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 001580 | CT |
| Y | 103TC0700X | Clinical Psychologist | 001580 | CT |
National Provider Identifier
| NPI | 1013037860 |
|---|---|
| Provider Name | Dr. Sandra E. Hartdagen |
| First Address | South Windsor, CT 06074-2342 |
| Second Address | Glastonbury, CT 06033-4321 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.