Meridian Psychotherapy Associates Llc | |
25 Church Hill Rd Newtown CT 06470-1639 | |
(203) 988-6900 | |
Not Available |
Full Name | Meridian Psychotherapy Associates Llc |
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Speciality | Social Worker |
Location | 25 Church Hill Rd, Newtown, Connecticut |
Authorized Official Name and Position | Penny Tavar (MANAGING MEMBER) |
Authorized Official Contact | 2039886900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Meridian Psychotherapy Associates Llc Po Box 3023 Newtown CT 06470-3023 Ph: (203) 988-6900 | Meridian Psychotherapy Associates Llc 25 Church Hill Rd Newtown CT 06470-1639 Ph: (203) 988-6900 |
NPI Number | 1225668650 |
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Provider Enumeration Date | 01/24/2020 |
Last Update Date | 07/20/2022 |
Certification Date | 07/20/2022 |
Medicare PECOS PAC ID | 3971925298 |
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Medicare Enrollment ID | O20200615002519 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225668650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Penny A Tavar |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053843318 PECOS PAC ID: 4880016104 Enrollment ID: I20200615002706 |
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