| Avon Simsbury Psychotherapy, Llc | |
|
111 Simsbury Rd Avon CT 06001-3763 | |
| (860) 989-7687 | |
| Not Available |
| Full Name | Avon Simsbury Psychotherapy, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 111 Simsbury Rd, Avon, Connecticut |
| Authorized Official Name and Position | Sarah J Gamble (OWNER) |
| Authorized Official Contact | 8609897687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avon Simsbury Psychotherapy, Llc 111 Simsbury Rd Avon CT 06001-3763 Ph: (860) 989-7687 | Avon Simsbury Psychotherapy, Llc 111 Simsbury Rd Avon CT 06001-3763 Ph: (860) 989-7687 |
| NPI Number | 1558787176 |
|---|---|
| Provider Enumeration Date | 03/06/2014 |
| Last Update Date | 03/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558787176 | NPI | - | NPPES |
| 680001804 | Other | CT | MEDICARE IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1811 (Connecticut) | Primary |
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