| Counseling & Psychotherapy Group | |
|
415 Saw Mill Rd Stamford CT 06903 | |
| (203) 329-1578 | |
| (203) 329-0514 |
| Full Name | Counseling & Psychotherapy Group |
|---|---|
| Speciality | Psychologist |
| Location | 415 Saw Mill Rd, Stamford, Connecticut |
| Authorized Official Name and Position | Stanley Rosner (LLC - OWNER) |
| Authorized Official Contact | 2033291578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Psychotherapy Group 415 Saw Mill Rd Stamford CT 06903 Ph: (203) 329-1578 | Counseling & Psychotherapy Group 415 Saw Mill Rd Stamford CT 06903 Ph: (203) 329-1578 |
| NPI Number | 1477622579 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 11/13/2014 |
| Medicare PECOS PAC ID | 5991754582 |
|---|---|
| Medicare Enrollment ID | O20050121000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477622579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 000115 (Connecticut) | Primary |
| 104100000X | Social Worker | 001497 (Connecticut) | Secondary |
| Provider Name | Elisa B Rosner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477739381 PECOS PAC ID: 6204885148 Enrollment ID: I20050118000451 |
| Provider Name | Blanche A Rosner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861576506 PECOS PAC ID: 7911039532 Enrollment ID: I20100717000270 |
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