Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glastonbury Pediatric Neuropsychology

Organization Clinical Psychologist · NPI 1043007792

Glastonbury Pediatric Neuropsychology is a Clinical Psychologist in Glastonbury, Connecticut. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

78 Eastern Blvd
Glastonbury, CT 06033-4325
Phone: (860) 430-2736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1043007792
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Mraz — Clinical Psychologist · (860) 430-2736
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address78 Eastern Blvd, Glastonbury, CT 06033-4325

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