| Ct Psychological & Assessment Center Llc | |
|
61 Wells Rd Wethersfield CT 06109-3043 | |
| (860) 372-4811 | |
| (860) 372-4812 |
| Full Name | Ct Psychological & Assessment Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 61 Wells Rd, Wethersfield, Connecticut |
| Authorized Official Name and Position | Lilliam Martinez (OWNER) |
| Authorized Official Contact | 8603724811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ct Psychological & Assessment Center Llc 1028 Manchester Rd Glastonbury CT 06033-2617 Ph: (860) 372-4811 | Ct Psychological & Assessment Center Llc 61 Wells Rd Wethersfield CT 06109-3043 Ph: (860) 372-4811 |
| NPI Number | 1326342858 |
|---|---|
| Provider Enumeration Date | 12/23/2010 |
| Last Update Date | 04/14/2014 |
| Medicare PECOS PAC ID | 6305011404 |
|---|---|
| Medicare Enrollment ID | O20111219000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326342858 | NPI | - | NPPES |
| Provider Name | Mark Meola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700998341 PECOS PAC ID: 2961472840 Enrollment ID: I20040728000917 |
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