Psychological Associates Llc | |
2157 North Ave Bridgeport CT 06604-2438 | |
(203) 335-0345 | |
Not Available |
Full Name | Psychological Associates Llc |
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Speciality | Psychologist |
Location | 2157 North Ave, Bridgeport, Connecticut |
Authorized Official Name and Position | Robert Matefy (OWNER) |
Authorized Official Contact | 2033350345 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychological Associates Llc 2157 North Ave Bridgeport CT 06604-2438 Ph: () - | Psychological Associates Llc 2157 North Ave Bridgeport CT 06604-2438 Ph: (203) 335-0345 |
NPI Number | 1770802886 |
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Provider Enumeration Date | 05/28/2010 |
Last Update Date | 08/31/2014 |
Medicare PECOS PAC ID | 8628423605 |
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Medicare Enrollment ID | O20231011001303 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770802886 | NPI | - | NPPES |
Provider Name | Robert E Matefy |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1225173131 PECOS PAC ID: 3476742263 Enrollment ID: I20110110000471 |
Provider Name | Kirk Denys Matefy |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649879602 PECOS PAC ID: 2163866252 Enrollment ID: I20240216001228 |
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