| Psychotherapy Associates Of Ct, Llc | |
|
244 S Main St Colchester CT 06415-1405 | |
| (860) 338-3324 | |
| Not Available |
| Full Name | Psychotherapy Associates Of Ct, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 244 S Main St, Colchester, Connecticut |
| Authorized Official Name and Position | Diane Adelson (LCSW, OWNER) |
| Authorized Official Contact | 8603383324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Associates Of Ct, Llc 244 S Main St Colchester CT 06415-1405 Ph: (860) 338-3324 | Psychotherapy Associates Of Ct, Llc 244 S Main St Colchester CT 06415-1405 Ph: (860) 338-3324 |
| NPI Number | 1497989511 |
|---|---|
| Provider Enumeration Date | 05/04/2009 |
| Last Update Date | 04/30/2013 |
| Medicare PECOS PAC ID | 2062541584 |
|---|---|
| Medicare Enrollment ID | O20100521000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497989511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Diane K Adelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750347621 PECOS PAC ID: 2668438185 Enrollment ID: I20051216000222 |
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