Active NPIIndividual provider

Marian Santandreu Mirabal, PSYD

Psychologist, Clinical in Hartford, Connecticut

NPI Number1770865883
Practice location
132 Jefferson Street, Hartford, CT 06106
Fax
—
Last updated
July 29, 2022

Marian Santandreu Mirabal is a Psychologist, Clinical based in Hartford, CT. Marian Santandreu Mirabal practices in Hartford, CT and has the professional credentials of PSYD. The NPI Number for Marian Santandreu Mirabal is 1770865883 and holds a License No. 9906 (MA). The current practice location address for Marian Santandreu Mirabal is 132 Jefferson Street, Hartford, CT 06106 and can be reached out via phone at 860-972-0200.

Provider Profile Details

NPI Number
1770865883
Provider Name
Marian Santandreu Mirabal
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
132 Jefferson Street, Hartford, CT 06106
Phone Number
860-972-0200
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Other Names
Marian Santandreu (Other Name)
Provider Enumeration Date
September 14, 2011
Last Update Date
July 29, 2022
Certification Date
July 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
132 Jefferson Street
Hartford, CT 06106
Zip
06106
Phone Number
860-972-0200
Hartford, CT 06106Get directions →

Provider Business Mailing Address Details

Address
125 Liberty St Ste 102
Springfield, MA 01103-1109
City
Springfield
State
MA
Zip
01103-1109
Phone Number
413-200-4110

License Information

License Number (1)
9906
License State (1)
MA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
4020
License State (2)
CT
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marian Santandreu Mirabal, PSYD?

The NPI number of Marian Santandreu Mirabal, PSYD is 1770865883. It was assigned on September 14, 2011 and is currently active in the NPPES registry.

What is the specialty of Marian Santandreu Mirabal, PSYD?

Marian Santandreu Mirabal, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 9906.

Where does Marian Santandreu Mirabal, PSYD practice?

The practice location is 132 Jefferson Street, Hartford, CT 06106. The office can be reached at 860-972-0200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770865883 directly on the NPPES registry website.

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