| Shoreline Pediatric Neuropsychological Services, Llc | |
|
954 Middlesex Tpke Ste A2 Old Saybrook CT 06475-1302 | |
| (860) 388-2000 | |
| (860) 388-2000 |
| Full Name | Shoreline Pediatric Neuropsychological Services, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 954 Middlesex Tpke, Old Saybrook, Connecticut |
| Authorized Official Name and Position | Shelley Frazier Pelletier (PEDIATRIC NEUROPSYCHOLOGY) |
| Authorized Official Contact | 8603882000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Pediatric Neuropsychological Services, Llc Po Box 303 Old Saybrook CT 06475 Ph: (860) 388-2000 | Shoreline Pediatric Neuropsychological Services, Llc 954 Middlesex Tpke Ste A2 Old Saybrook CT 06475-1302 Ph: (860) 388-2000 |
| NPI Number | 1992999767 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 04/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992999767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 2736 (Connecticut) | Primary |
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