| Connecticut Pediatric Neuropsychology Associates | |
|
300 Hebron Ave Ste 111 Glastonbury CT 06033-2176 | |
| (860) 633-8155 | |
| (860) 633-8176 |
| Full Name | Connecticut Pediatric Neuropsychology Associates |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 300 Hebron Ave Ste 111, Glastonbury, Connecticut |
| Authorized Official Name and Position | Gary M. Isenberg (PEDIATRIC NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 8606338155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Pediatric Neuropsychology Associates 300 Hebron Ave Ste 111 Glastonbury CT 06033-2176 Ph: (860) 633-8155 | Connecticut Pediatric Neuropsychology Associates 300 Hebron Ave Ste 111 Glastonbury CT 06033-2176 Ph: (860) 633-8155 |
| NPI Number | 1306627708 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306627708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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