| Eastern Connecticut Psychological Associates, Llc | |
|
12 Case St Suite 202 Norwich CT 06360-2222 | |
| (860) 886-0015 | |
| (860) 886-0015 |
| Full Name | Eastern Connecticut Psychological Associates, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 Case St, Norwich, Connecticut |
| Authorized Official Name and Position | Joseph Patrick Lang (OWNER) |
| Authorized Official Contact | 8608860015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Connecticut Psychological Associates, Llc 12 Case St Suite 202 Norwich CT 06360-2222 Ph: (860) 886-0015 | Eastern Connecticut Psychological Associates, Llc 12 Case St Suite 202 Norwich CT 06360-2222 Ph: (860) 886-0015 |
| NPI Number | 1942578778 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 10/13/2015 |
| Medicare PECOS PAC ID | 5890956213 |
|---|---|
| Medicare Enrollment ID | O20120412000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942578778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1875 (Connecticut) | Primary |
| Provider Name | Joseph Patrick Lang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164599031 PECOS PAC ID: 1052500857 Enrollment ID: I20110110000683 |
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