| Tyrek J Pratt Llc | |
|
74 New London Tpke Ste 1 Glastonbury CT 06033-4204 | |
| (860) 365-1310 | |
| Not Available |
| Full Name | Tyrek J Pratt Llc |
|---|---|
| Speciality | Psychologist |
| Location | 74 New London Tpke Ste 1, Glastonbury, Connecticut |
| Authorized Official Name and Position | Tyrek J Pratt (OWNER / PSYCHOLOGIST) |
| Authorized Official Contact | 8603651310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyrek J Pratt Llc 74 New London Tpke Ste 1 Glastonbury CT 06033-4204 Ph: (860) 365-1310 | Tyrek J Pratt Llc 74 New London Tpke Ste 1 Glastonbury CT 06033-4204 Ph: (860) 365-1310 |
| NPI Number | 1598363962 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/22/2020 |
| Certification Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598363962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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