NPI 1184921975
United States Air Force
Practice location
- Address
- 15 Highland St APT 102, West Hartford, CT 06119-1300
- Phone
- (203) 347-5504
Authorised official
- Name
- Ron Dion Chance
- Title
- Clinical Psychology Doctoral Studen
- Phone
- (203) 347-5504
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1184921975
- Entity type
- Organization
- NPI issued
- 14 Feb 2011
- Record last updated
- 14 Feb 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.