| Farmington Valley Integrative Therapy, Llc | |
|
35 Tower Ln Ste 104 Avon CT 06001-4237 | |
| (860) 751-9257 | |
| (860) 516-1170 |
| Full Name | Farmington Valley Integrative Therapy, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 35 Tower Ln Ste 104, Avon, Connecticut |
| Authorized Official Name and Position | Virginia Dalton Taylor (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8607519257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farmington Valley Integrative Therapy, Llc 35 Tower Ln Ste 104 Avon CT 06001-4237 Ph: (860) 751-9257 | Farmington Valley Integrative Therapy, Llc 35 Tower Ln Ste 104 Avon CT 06001-4237 Ph: (860) 751-9257 |
| NPI Number | 1932561222 |
|---|---|
| Provider Enumeration Date | 03/24/2016 |
| Last Update Date | 03/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932561222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 003176 (Connecticut) | Primary |
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