| Shoreline Psychological | |
|
17a Woodland Rd Madison CT 06443-2342 | |
| (203) 779-5490 | |
| (203) 896-9830 |
| Full Name | Shoreline Psychological |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 17a Woodland Rd, Madison, Connecticut |
| Authorized Official Name and Position | Abby Lipschutz (DIRECTOR/OWNER) |
| Authorized Official Contact | 6462652850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Psychological 17a Woodland Rd Madison CT 06443-2342 Ph: (203) 779-5490 | Shoreline Psychological 17a Woodland Rd Madison CT 06443-2342 Ph: (203) 779-5490 |
| NPI Number | 1750927802 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750927802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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