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27 Church Street New Preston CT 06777 | |
(860) 307-0954 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 27 Church Street, New Preston, Connecticut |
Authorized Official Name and Position | Elizabeth Mcmullan (PSYCHOTHERAPIST) |
Authorized Official Contact | 8603070954 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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25 East Shore Rd New Preston CT 06777-1619 Ph: (860) 307-0954 | 27 Church Street New Preston CT 06777 Ph: (860) 307-0954 |
NPI Number | 1477037661 |
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Provider Enumeration Date | 09/24/2018 |
Last Update Date | 01/04/2019 |
Identifier | Type | State | Issuer |
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1477037661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |