| Greenwich Family Therapy Llc | |
|
15 Valley Dr Greenwich CT 06831-5205 | |
| (203) 900-1666 | |
| Not Available |
| Full Name | Greenwich Family Therapy Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 15 Valley Dr, Greenwich, Connecticut |
| Authorized Official Name and Position | Judith Zackson (OFFICER) |
| Authorized Official Contact | 2039001666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenwich Family Therapy Llc 15 Valley Dr Greenwich CT 06831-5205 Ph: (203) 900-1666 | Greenwich Family Therapy Llc 15 Valley Dr Greenwich CT 06831-5205 Ph: (203) 900-1666 |
| NPI Number | 1386210748 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386210748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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