| Roeder And Polansky Family And Child Associates | |
|
300 Plaza Middlesex Middletown CT 06457 | |
| (860) 347-9911 | |
| (860) 347-8120 |
| Full Name | Roeder And Polansky Family And Child Associates |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 300 Plaza Middlesex, Middletown, Connecticut |
| Authorized Official Name and Position | Keith Roeder (DIRECTOR OWNER) |
| Authorized Official Contact | 8603479911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roeder And Polansky Family And Child Associates 300 Plaza Middlesex Middletown CT 06457 Ph: (860) 347-9911 | Roeder And Polansky Family And Child Associates 300 Plaza Middlesex Middletown CT 06457 Ph: (860) 347-9911 |
| NPI Number | 1679508956 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 05/21/2010 |
| Medicare PECOS PAC ID | 2466459284 |
|---|---|
| Medicare Enrollment ID | O20061108000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679508956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Dina N Weis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093751521 PECOS PAC ID: 4981702941 Enrollment ID: I20070614000517 |
| Provider Name | Keith A Roeder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912932294 PECOS PAC ID: 0547267361 Enrollment ID: I20111117000247 |
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