| Suffield Psychology Associates | |
|
133 Mountain Rd Suffield CT 06078-2084 | |
| (860) 668-4342 | |
| Not Available |
| Full Name | Suffield Psychology Associates |
|---|---|
| Speciality | Psychologist |
| Location | 133 Mountain Rd, Suffield, Connecticut |
| Authorized Official Name and Position | Steven A. Kagel (MANAGING PARTNER) |
| Authorized Official Contact | 8606684342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffield Psychology Associates 133 Mountain Rd Suffield CT 06078-2084 Ph: (860) 668-4342 | Suffield Psychology Associates 133 Mountain Rd Suffield CT 06078-2084 Ph: (860) 668-4342 |
| NPI Number | 1588735682 |
|---|---|
| Provider Enumeration Date | 11/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588735682 | NPI | - | NPPES |
| C0009465 | Other | CT | CHAMPUS |
| 4070330 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1250 (Connecticut) | Primary |
| 103T00000X | Psychologist | 1269 (Connecticut) | Secondary |
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