| Vicki Garvin, Ph.d., Llc | |
|
1420 Main Street Suite 203 Glastonbury CT 06033-3110 | |
| (860) 659-3244 | |
| Not Available |
| Full Name | Vicki Garvin, Ph.d., Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1420 Main Street, Glastonbury, Connecticut |
| Authorized Official Name and Position | Vicki Garvin (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8606593244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki Garvin, Ph.d., Llc 1420 Main Street Suite 203 Glastonbury CT 06033 Ph: (860) 659-3244 | Vicki Garvin, Ph.d., Llc 1420 Main Street Suite 203 Glastonbury CT 06033-3110 Ph: (860) 659-3244 |
| NPI Number | 1356691901 |
|---|---|
| Provider Enumeration Date | 09/11/2012 |
| Last Update Date | 09/11/2012 |
| Medicare PECOS PAC ID | 1658525316 |
|---|---|
| Medicare Enrollment ID | O20130218000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356691901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001617 (Connecticut) | Primary |
| Provider Name | Vicki Garvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881603736 PECOS PAC ID: 4587844618 Enrollment ID: I20110310000322 |
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