| Connecticut Pediatric And Family Therapy Llc | |
|
485 Main St Farmington CT 06032-2912 | |
| (860) 893-5708 | |
| Not Available |
| Full Name | Connecticut Pediatric And Family Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 485 Main St, Farmington, Connecticut |
| Authorized Official Name and Position | Ryan Oliver (CEO) |
| Authorized Official Contact | 8608935708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Pediatric And Family Therapy Llc 485 Main St Farmington CT 06032-2912 Ph: (860) 893-5708 | Connecticut Pediatric And Family Therapy Llc 485 Main St Farmington CT 06032-2912 Ph: (860) 893-5708 |
| NPI Number | 1316625791 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316625791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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