Connecticut Behavioral Health And Wellness Llc | |
228 Meadow St Ste 202 Waterbury CT 06702-1807 | |
(203) 573-9521 | |
(203) 573-8708 |
Full Name | Connecticut Behavioral Health And Wellness Llc |
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Speciality | Psychologist |
Location | 228 Meadow St Ste 202, Waterbury, Connecticut |
Authorized Official Name and Position | Shawna Lisa Delong (OFFICE MANAGER) |
Authorized Official Contact | 2035739521 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Connecticut Behavioral Health And Wellness Llc 228 Meadow St Ste 202 Waterbury CT 06702-1807 Ph: (203) 573-9521 | Connecticut Behavioral Health And Wellness Llc 228 Meadow St Ste 202 Waterbury CT 06702-1807 Ph: (203) 573-9521 |
NPI Number | 1184228884 |
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Provider Enumeration Date | 11/24/2020 |
Last Update Date | 11/24/2020 |
Certification Date | 11/24/2020 |
Medicare PECOS PAC ID | 4880008630 |
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Medicare Enrollment ID | O20210206000090 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184228884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Michaela U Kauffmann |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1487763413 PECOS PAC ID: 4284640855 Enrollment ID: I20060307000031 |
Provider Name | Eric D Margolies |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1891804811 PECOS PAC ID: 5092998872 Enrollment ID: I20110401000153 |
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