| Shoreline Psychiatric | |
|
226 E Main St Branford CT 06405-3103 | |
| (203) 871-1357 | |
| (203) 488-5034 |
| Full Name | Shoreline Psychiatric |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 226 E Main St, Branford, Connecticut |
| Authorized Official Name and Position | Kathleen Marie Lazzarini (PRESIDENT) |
| Authorized Official Contact | 2038711357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Psychiatric 226 E Main St Branford CT 06405-3103 Ph: (203) 871-1357 | Shoreline Psychiatric 226 E Main St Branford CT 06405-3103 Ph: (203) 871-1357 |
| NPI Number | 1023497302 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023497302 | NPI | - | NPPES |
| 001342378 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 034237 (Connecticut) | Primary |
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