| Psychological Services Of Kensington, Llc | |
|
1097 Farmington Ave Berlin CT 06037-2241 | |
| (860) 836-7553 | |
| Not Available |
| Full Name | Psychological Services Of Kensington, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1097 Farmington Ave, Berlin, Connecticut |
| Authorized Official Name and Position | Kimberly Henderson-kjellen (OWNER) |
| Authorized Official Contact | 8608367553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Of Kensington, Llc 1097 Farmington Ave Berlin CT 06037-2241 Ph: () - | Psychological Services Of Kensington, Llc 1097 Farmington Ave Berlin CT 06037-2241 Ph: (860) 836-7553 |
| NPI Number | 1073012597 |
|---|---|
| Provider Enumeration Date | 02/10/2018 |
| Last Update Date | 02/10/2018 |
| Medicare PECOS PAC ID | 7517222979 |
|---|---|
| Medicare Enrollment ID | O20180606000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073012597 | NPI | - | NPPES |
| Provider Name | Kimberly Henderson-kjellen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417044165 PECOS PAC ID: 7810051331 Enrollment ID: I20090128000524 |
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