| Dialect Pyschotherapy Inc. | |
|
12 Roosevelt Ave Mystic CT 06355-2809 | |
| (860) 333-2411 | |
| (860) 415-9137 |
| Full Name | Dialect Pyschotherapy Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12 Roosevelt Ave, Mystic, Connecticut |
| Authorized Official Name and Position | Giulia Jaramillo (CEO) |
| Authorized Official Contact | 8603332411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dialect Pyschotherapy Inc. 20 Robin St Pawcatuck CT 06379-2316 Ph: (860) 333-2411 | Dialect Pyschotherapy Inc. 12 Roosevelt Ave Mystic CT 06355-2809 Ph: (860) 333-2411 |
| NPI Number | 1598105595 |
|---|---|
| Provider Enumeration Date | 07/05/2013 |
| Last Update Date | 07/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598105595 | NPI | - | NPPES |
| 008013908 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001318 (Connecticut) | Primary |
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