Dana Farr Phd Llc | |
7 River St Collinsville CT 06019-3156 | |
(860) 841-8414 | |
Not Available |
Full Name | Dana Farr Phd Llc |
---|---|
Speciality | Psychologist |
Location | 7 River St, Collinsville, Connecticut |
Authorized Official Name and Position | Dana Farr (SOLE MEMBER) |
Authorized Official Contact | 2034643332 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dana Farr Phd Llc 4 Silhouette Dr Colebrook CT 06021-1123 Ph: (203) 464-3332 | Dana Farr Phd Llc 7 River St Collinsville CT 06019-3156 Ph: (860) 841-8414 |
NPI Number | 1588207005 |
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Provider Enumeration Date | 10/28/2019 |
Last Update Date | 10/28/2019 |
Medicare PECOS PAC ID | 1951734961 |
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Medicare Enrollment ID | O20191205001195 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588207005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Dana Farr |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1699127530 PECOS PAC ID: 2860825874 Enrollment ID: I20191205001481 |
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