| Southfield Center For Psychological Services, Llc | |
|
68 Southfield Ave Two Stamford Landing-suite 160 Stamford CT 06902-7237 | |
| (203) 348-9920 | |
| Not Available |
| Full Name | Southfield Center For Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 68 Southfield Ave, Stamford, Connecticut |
| Authorized Official Name and Position | Christopher M Bogart (DIRECTOR) |
| Authorized Official Contact | 2033489920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southfield Center For Psychological Services, Llc 68 Southfield Ave Two Stamford Landing-suite 160 Stamford CT 06902-7237 Ph: (203) 348-9920 | Southfield Center For Psychological Services, Llc 68 Southfield Ave Two Stamford Landing-suite 160 Stamford CT 06902-7237 Ph: (203) 348-9920 |
| NPI Number | 1790911865 |
|---|---|
| Provider Enumeration Date | 06/03/2009 |
| Last Update Date | 06/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790911865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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