| 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 - Mental Health |
| Location | 61 Wells Rd, Wethersfield, Connecticut |
| Authorized Official Name and Position | Lilliam Martinez (OWNER) |
| Authorized Official Contact | 8609043444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ct Psychological & Assessment Center,llc 61 Wells Rd Wethersfield CT 06109-3043 Ph: (860) 372-4811 | Ct Psychological & Assessment Center,llc 61 Wells Rd Wethersfield CT 06109-3043 Ph: (860) 372-4811 |
| NPI Number | 1548558232 |
|---|---|
| Provider Enumeration Date | 07/14/2011 |
| Last Update Date | 07/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548558232 | NPI | - | NPPES |
| 008025895 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 001997 (Connecticut) | Primary |
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