| Hannah Jurewicz Psyd Llc | |
|
75 Mungertown Rd Madison CT 06443-2233 | |
| (203) 605-0341 | |
| Not Available |
| Full Name | Hannah Jurewicz Psyd Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 75 Mungertown Rd, Madison, Connecticut |
| Authorized Official Name and Position | Hannah Carlson Jurewicz (OWNER) |
| Authorized Official Contact | 2036050341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Jurewicz Psyd Llc 75 Mungertown Rd Madison CT 06443-2233 Ph: (203) 605-0341 | Hannah Jurewicz Psyd Llc 75 Mungertown Rd Madison CT 06443-2233 Ph: (203) 605-0341 |
| NPI Number | 1518574045 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 09/29/2020 |
| Certification Date | 09/29/2020 |
| Medicare PECOS PAC ID | 5496195679 |
|---|---|
| Medicare Enrollment ID | O20240506000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518574045 | NPI | - | NPPES |
| 008060547 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Hannah Jurewicz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669856084 PECOS PAC ID: 6305286584 Enrollment ID: I20240506000951 |
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