| Emily Wyckoff Llc | |
|
1 Wildwood Rd Vernon Rockville CT 06066-6013 | |
| (860) 375-0470 | |
| Not Available |
| Full Name | Emily Wyckoff Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1 Wildwood Rd, Vernon Rockville, Connecticut |
| Authorized Official Name and Position | Emily P Wyckoff (OWNER) |
| Authorized Official Contact | 8603750475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Wyckoff Llc 1 Wildwood Rd Vernon CT 06066-6013 Ph: (860) 375-0470 | Emily Wyckoff Llc 1 Wildwood Rd Vernon Rockville CT 06066-6013 Ph: (860) 375-0470 |
| NPI Number | 1649042078 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649042078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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