| Regenerative Psychotherapy Pllc | |
|
95 Long Lots Rd Westport CT 06880-3919 | |
| (917) 224-9598 | |
| Not Available |
| Full Name | Regenerative Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 95 Long Lots Rd, Westport, Connecticut |
| Authorized Official Name and Position | Merritt Juliano (MANAGING MEMBER) |
| Authorized Official Contact | 9172249598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenerative Psychotherapy Pllc 95 Long Lots Rd Westport CT 06880-3919 Ph: (917) 224-9598 | Regenerative Psychotherapy Pllc 95 Long Lots Rd Westport CT 06880-3919 Ph: (917) 224-9598 |
| NPI Number | 1003420829 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 08/31/2020 |
| Certification Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003420829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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