| Meadow Springs, Llc | |
|
85 Old Ridgefield Rd Wilton CT 06897-3023 | |
| (203) 945-1619 | |
| (203) 296-1504 |
| Full Name | Meadow Springs, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 85 Old Ridgefield Rd, Wilton, Connecticut |
| Authorized Official Name and Position | Ellen Galat (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2039451619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadow Springs, Llc 1111 Stratford Ave Apt 114 Stratford CT 06615-6370 Ph: (203) 945-1619 | Meadow Springs, Llc 85 Old Ridgefield Rd Wilton CT 06897-3023 Ph: (203) 945-1619 |
| NPI Number | 1821755653 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Medicare PECOS PAC ID | 7810375284 |
|---|---|
| Medicare Enrollment ID | O20220526001532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821755653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ellen Marie Galat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093725848 PECOS PAC ID: 8224347885 Enrollment ID: I20151021002007 |
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