| Spring Street Psychiatric Group | |
|
7 Spring St Middletown CT 06457-2238 | |
| (860) 344-9558 | |
| (860) 347-6265 |
| Full Name | Spring Street Psychiatric Group |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7 Spring St, Middletown, Connecticut |
| Authorized Official Name and Position | Janet Shapiro-weiss (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8603449558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Street Psychiatric Group Po Box 1018 Middletown CT 06457-1018 Ph: (860) 344-9558 | Spring Street Psychiatric Group 7 Spring St Middletown CT 06457-2238 Ph: (860) 344-9558 |
| NPI Number | 1104065895 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104065895 | NPI | - | NPPES |
| 010024301CT01 | Other | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 24301 (Connecticut) | Primary |
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