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841 Middlesex Tpke Old Saybrook CT 06475-1317 | |
| (860) 395-0111 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 841 Middlesex Tpke, Old Saybrook, Connecticut |
| Authorized Official Name and Position | Karl Scheibe (OWNER AND EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8603950111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
841 Middlesex Tpke Old Saybrook CT 06475-1317 Ph: (860) 395-0111 | 841 Middlesex Tpke Old Saybrook CT 06475-1317 Ph: (860) 395-0111 |
| NPI Number | 1982628020 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982628020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 001316 (Connecticut) | Primary |
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