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PSYCHOLOGICAL HEALTH ASSOCIATES LLC

Behavioral Health & Social Service Providers Psychologist Clinical

Provider NPI: 1508899212

Organization Information:
Organization Name:  PSYCHOLOGICAL HEALTH ASSOCIATES LLC
Organization is not Subpart
Authorized Official:  MARCI B. KORWIN  PRINCIPAL  860-233-9772

Practice Location:
701 COTTAGE GROVE RD STE 302  BLOOMFIELD, CT 06002-3080 US
Tel: 860-233-9772  Fax: 860-236-9402

Business Mailing Address:
701 COTTAGE GROVE RD STE C210  BLOOMFIELD, CT 06002-4207 US
Tel: 860-233-9772  Fax: 860-236-9402

NPI Information:
NPI: 1508899212
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
N103T00000XBehavioral Health & Social Service Providers
Psychologist
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
N106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
Y101YP2500XBehavioral Health & Social Service Providers
Counselor

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 101YP2500X

Type:

Classification:



Definition:



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