| Resilient Raza Psychiatry Professional Llc | |
|
900 Straits Turnpike, Suite D Middlebury CT 06762-2865 | |
| (860) 919-6146 | |
| Not Available |
| Full Name | Resilient Raza Psychiatry Professional Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 900 Straits Turnpike, Suite D, Middlebury, Connecticut |
| Authorized Official Name and Position | Mahreen Raza (SOLE MEMBER) |
| Authorized Official Contact | 7325829308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Raza Psychiatry Professional Llc 304 West Main Street, Suite 2, # 138 Avon CT 06001 Ph: (860) 919-6146 | Resilient Raza Psychiatry Professional Llc 900 Straits Turnpike, Suite D Middlebury CT 06762-2865 Ph: (860) 919-6146 |
| NPI Number | 1215646872 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215646872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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