| Spectrum Professional Services Llc | |
|
77-79 Bishop St Waterbury CT 06704-3306 | |
| (203) 756-7987 | |
| Not Available |
| Full Name | Spectrum Professional Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 77-79 Bishop St, Waterbury, Connecticut |
| Authorized Official Name and Position | Lacey Brandon (DIRECTOR) |
| Authorized Official Contact | 2036954917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Professional Services Llc 77-79 Bishop Street Waterbury CT 06704-1443 Ph: () - | Spectrum Professional Services Llc 77-79 Bishop St Waterbury CT 06704-3306 Ph: (203) 756-7987 |
| NPI Number | 1013362771 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013362771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2384 (Connecticut) | Primary |
| 251S00000X | Community/behavioral Health | 1113 (Connecticut) | Secondary |
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