| Willow Treatment & Associates, Inc. | |
|
60 Connolly Parkway; Building 2c-207 Wilbur Cross Commons Hamden CT 06514 | |
| (203) 535-0318 | |
| Not Available |
| Full Name | Willow Treatment & Associates, Inc. |
|---|---|
| Speciality | Psychoanalyst |
| Location | 60 Connolly Parkway; Building 2c-207, Hamden, Connecticut |
| Authorized Official Name and Position | Kathryn Camizzi (PRESIDENT) |
| Authorized Official Contact | 2035350318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Treatment & Associates, Inc. 60 Connolly Parkway; Building 2c-207 Wilbur Cross Commons Hamden CT 06514 Ph: (203) 535-0318 | Willow Treatment & Associates, Inc. 60 Connolly Parkway; Building 2c-207 Wilbur Cross Commons Hamden CT 06514 Ph: (203) 535-0318 |
| NPI Number | 1992057772 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 02/05/2013 |
| Medicare PECOS PAC ID | 2466762752 |
|---|---|
| Medicare Enrollment ID | O20151117003142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992057772 | NPI | - | NPPES |
| Provider Name | Kathryn Camizzi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1760466957 PECOS PAC ID: 4880688357 Enrollment ID: I20040408001341 |
| Provider Name | Audrey A Blanchard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598078131 PECOS PAC ID: 3173715968 Enrollment ID: I20101012000940 |
| Provider Name | Lorraine Mary Congdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144686700 PECOS PAC ID: 1456643717 Enrollment ID: I20180302000935 |
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