| Child Guidance Clinic | |
|
12b Clancy Rd Branford CT 06405-3007 | |
| (203) 606-8681 | |
| Not Available |
| Full Name | Child Guidance Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12b Clancy Rd, Branford, Connecticut |
| Authorized Official Name and Position | Loretta Marie Palo (PSYCHIATRIC SOCIAL WORKER) |
| Authorized Official Contact | 2032355767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Guidance Clinic 12b Clancy Rd Branford CT 06405-3007 Ph: (203) 606-8681 | Child Guidance Clinic 12b Clancy Rd Branford CT 06405-3007 Ph: (203) 606-8681 |
| NPI Number | 1285167197 |
|---|---|
| Provider Enumeration Date | 04/07/2017 |
| Last Update Date | 04/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285167197 | NPI | - | NPPES |
| MOM5658 | Other | TRI CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000263 (Connecticut) | Primary |
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