| On-site Psychological Services Pc | |
|
415 Main St Ridgefield CT 06877-4500 | |
| (203) 438-7565 | |
| Not Available |
| Full Name | On-site Psychological Services Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 415 Main St, Ridgefield, Connecticut |
| Authorized Official Name and Position | Marie L Preneta (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2034387565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On-site Psychological Services Pc Po Box 1107 Ridgefield CT 06877 Ph: (203) 438-7565 | On-site Psychological Services Pc 415 Main St Ridgefield CT 06877-4500 Ph: (203) 438-7565 |
| NPI Number | 1992807887 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 05/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992807887 | NPI | - | NPPES |
| 03333406 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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