Family Psychotherapy & Consulting | |
43 Sherman Hill Rd Building D, Suite 103 Woodbury CT 06798-3651 | |
(203) 405-1186 | |
Not Available |
Full Name | Family Psychotherapy & Consulting |
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Speciality | Social Worker - Clinical |
Location | 43 Sherman Hill Rd, Woodbury, Connecticut |
Authorized Official Name and Position | John Louis Renzulli (OWNER) |
Authorized Official Contact | 2034051186 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Psychotherapy & Consulting Po Box 1334 Southbury CT 06488-8334 Ph: (203) 405-1186 | Family Psychotherapy & Consulting 43 Sherman Hill Rd Building D, Suite 103 Woodbury CT 06798-3651 Ph: (203) 405-1186 |
NPI Number | 1518375898 |
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Provider Enumeration Date | 07/30/2014 |
Last Update Date | 10/19/2014 |
Identifier | Type | State | Issuer |
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1518375898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 2770 (Connecticut) | Primary |
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