| Psychological Health & Development Associates, Llc | |
|
433 Silas Deane Hwy Wethersfield CT 06109-2123 | |
| (860) 338-5911 | |
| Not Available |
| Full Name | Psychological Health & Development Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 433 Silas Deane Hwy, Wethersfield, Connecticut |
| Authorized Official Name and Position | Janine Elizabeth Swanson (OWNER) |
| Authorized Official Contact | 8603385911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Health & Development Associates, Llc Po Box 122 Glastonbury CT 06033-0122 Ph: (860) 338-5911 | Psychological Health & Development Associates, Llc 433 Silas Deane Hwy Wethersfield CT 06109-2123 Ph: (860) 338-5911 |
| NPI Number | 1144519968 |
|---|---|
| Provider Enumeration Date | 04/01/2011 |
| Last Update Date | 10/24/2015 |
| Medicare PECOS PAC ID | 6103129333 |
|---|---|
| Medicare Enrollment ID | O20160122000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144519968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 002726 (Connecticut) | Primary |
| Provider Name | Janine E Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558453761 PECOS PAC ID: 4587662689 Enrollment ID: I20061128000531 |
| Provider Name | Dorica D Nevin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063781672 PECOS PAC ID: 0749447001 Enrollment ID: I20120130000433 |
| Provider Name | Emily Wickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740931856 PECOS PAC ID: 1850748724 Enrollment ID: I20231114003266 |
| Provider Name | Hope Rollner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871126672 PECOS PAC ID: 7416306923 Enrollment ID: I20231209000036 |
Christy Lee Knowles, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 Silas Deane Hwy, 3rd Floor, Wethersfield, CT 06109 Phone: 860-280-4008 | |
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