Person Centered Neuropsychology, Llc | |
15 Meadow St Unit 1 Litchfield CT 06759-3504 | |
(203) 513-3190 | |
Not Available |
Full Name | Person Centered Neuropsychology, Llc |
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Speciality | Clinic/Center |
Location | 15 Meadow St Unit 1, Litchfield, Connecticut |
Authorized Official Name and Position | Lasha Corbett (MANAGER/NEUROPSYCHOLOGIST) |
Authorized Official Contact | 2032098861 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Person Centered Neuropsychology, Llc 980 Northfield Rd Watertown CT 06795-1421 Ph: (203) 209-8861 | Person Centered Neuropsychology, Llc 15 Meadow St Unit 1 Litchfield CT 06759-3504 Ph: (203) 513-3190 |
NPI Number | 1740066141 |
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Provider Enumeration Date | 09/01/2023 |
Last Update Date | 10/21/2023 |
Certification Date | 10/21/2023 |
Medicare PECOS PAC ID | 9133576630 |
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Medicare Enrollment ID | O20231106000461 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740066141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Lasha Corbett Laggis |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1235682386 PECOS PAC ID: 8022306018 Enrollment ID: I20161006001188 |
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