| Sacred Intelligence | |
|
400 Bayonet St Suite 304 New London CT 06320-2600 | |
| (860) 443-7505 | |
| Not Available |
| Full Name | Sacred Intelligence |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 400 Bayonet St, New London, Connecticut |
| Authorized Official Name and Position | Terrlyn L Curry Avery (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8604437505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Intelligence 400 Bayonet St Suite 304 New London CT 06320-2600 Ph: (860) 443-7505 | Sacred Intelligence 400 Bayonet St Suite 304 New London CT 06320-2600 Ph: (860) 443-7505 |
| NPI Number | 1881977817 |
|---|---|
| Provider Enumeration Date | 09/26/2011 |
| Last Update Date | 09/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881977817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 002364 (Connecticut) | Primary |
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