Nancy Basti Psychological Consultants Llc | |
906 Bantam Rd Bantam CT 06750 | |
(860) 567-2254 | |
(860) 567-2254 |
Full Name | Nancy Basti Psychological Consultants Llc |
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Speciality | Counselor - Professional |
Location | 906 Bantam Rd, Bantam, Connecticut |
Authorized Official Name and Position | Ann Marie Basti (OWNER/LICENSED PROFESSIONAL COUNSEL) |
Authorized Official Contact | 8605179501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nancy Basti Psychological Consultants Llc Po Box 73 Morris CT 06763 Ph: (860) 567-2254 | Nancy Basti Psychological Consultants Llc 906 Bantam Rd Bantam CT 06750 Ph: (860) 567-2254 |
NPI Number | 1245559590 |
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Provider Enumeration Date | 05/26/2010 |
Last Update Date | 05/26/2010 |
Identifier | Type | State | Issuer |
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1245559590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 001298 (Connecticut) | Primary |
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