Alliance - Psychology Advocacy & Support Llc | |
195 S Main St Ste 5 Cheshire CT 06410-3171 | |
(203) 232-7956 | |
(203) 298-6254 |
Full Name | Alliance - Psychology Advocacy & Support Llc |
---|---|
Speciality | Psychologist |
Location | 195 S Main St Ste 5, Cheshire, Connecticut |
Authorized Official Name and Position | Kevin Colwell (DIRECTOR) |
Authorized Official Contact | 2032327956 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Alliance - Psychology Advocacy & Support Llc 1393 Diamond Hill Rd Cheshire CT 06410-1899 Ph: (203) 232-7956 | Alliance - Psychology Advocacy & Support Llc 195 S Main St Ste 5 Cheshire CT 06410-3171 Ph: (203) 232-7956 |
NPI Number | 1164158085 |
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Provider Enumeration Date | 07/25/2022 |
Last Update Date | 08/08/2023 |
Certification Date | 08/08/2023 |
Medicare PECOS PAC ID | 8527441252 |
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Medicare Enrollment ID | O20220812003130 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164158085 | NPI | - | NPPES |
NONE | Other | CT | NONE. THE PROGRAM MADE ME ADD SOMETHING. |
3129 | Other | CT | CT LICENSE PSYCHOLOGY |
Provider Name | Kevin Kevin Colwell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1598205395 PECOS PAC ID: 9436532165 Enrollment ID: I20220812003132 |
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