| Integrative Psychological Center Llc | |
|
44 Capitol Ave Ste 402 Hartford CT 06106-1764 | |
| (860) 466-9411 | |
| Not Available |
| Full Name | Integrative Psychological Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 44 Capitol Ave Ste 402, Hartford, Connecticut |
| Authorized Official Name and Position | Randall Wallace (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 8604669411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychological Center Llc 40 Mountain Rd West Hartford CT 06107-2913 Ph: (860) 466-9411 | Integrative Psychological Center Llc 44 Capitol Ave Ste 402 Hartford CT 06106-1764 Ph: (860) 466-9411 |
| NPI Number | 1306318670 |
|---|---|
| Provider Enumeration Date | 12/26/2018 |
| Last Update Date | 12/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306318670 | NPI | - | NPPES |
| 008042490 | Medicaid | CT |
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