Quinnipiac Psychological Services, Llc | |
3074 Whitney Ave Building Two Hamden CT 06518-2391 | |
(203) 287-9009 | |
Not Available |
Full Name | Quinnipiac Psychological Services, Llc |
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Speciality | Psychologist - Clinical |
Location | 3074 Whitney Ave, Hamden, Connecticut |
Authorized Official Name and Position | Ronald Brent Farnsworth (SOLE PROPRIETOR) |
Authorized Official Contact | 2037879009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Quinnipiac Psychological Services, Llc 3074 Whitney Ave Building Two Hamden CT 06518-2391 Ph: (203) 287-9009 | Quinnipiac Psychological Services, Llc 3074 Whitney Ave Building Two Hamden CT 06518-2391 Ph: (203) 287-9009 |
NPI Number | 1285878306 |
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Provider Enumeration Date | 04/21/2009 |
Last Update Date | 04/21/2009 |
Identifier | Type | State | Issuer |
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1285878306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 002055 (Connecticut) | Primary |
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