Provider Demographics
NPI:1275609711
Name:HART, SEAN TIMOTHY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:TIMOTHY
Last Name:HART
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 KIM DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-1710
Mailing Address - Country:US
Mailing Address - Phone:860-827-1795
Mailing Address - Fax:
Practice Address - Street 1:864 WETHERSFIELD AVENUE FIRST FLOOR
Practice Address - Street 2:HARTFORD CENTER FOR PSYCHOTHERAPY
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06114
Practice Address - Country:US
Practice Address - Phone:860-360-7261
Practice Address - Fax:860-296-5939
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001775103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical