Waterside Behavioral Health, Llc | |
130 Montowese St Branford CT 06405-3841 | |
(203) 535-5522 | |
(812) 759-9869 |
Full Name | Waterside Behavioral Health, Llc |
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Speciality | Psychologist - Clinical |
Location | 130 Montowese St, Branford, Connecticut |
Authorized Official Name and Position | Barbara L Greenspan (OWNER) |
Authorized Official Contact | 2035355522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Waterside Behavioral Health, Llc Po Box 385 Madison CT 06443-0385 Ph: (812) 853-9110 | Waterside Behavioral Health, Llc 130 Montowese St Branford CT 06405-3841 Ph: (203) 535-5522 |
NPI Number | 1275079394 |
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Provider Enumeration Date | 01/12/2017 |
Last Update Date | 01/12/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275079394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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