| Beyond The Pines Llc | |
|
4 Cheryl Ave Wallingford CT 06492-3911 | |
| (203) 589-3432 | |
| Not Available |
| Full Name | Beyond The Pines Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4 Cheryl Ave, Wallingford, Connecticut |
| Authorized Official Name and Position | Katie Elizabeth Lynch (PRACTICE OWNER) |
| Authorized Official Contact | 2035893432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond The Pines Llc 4 Cheryl Ave Wallingford CT 06492-3911 Ph: (203) 589-3532 | Beyond The Pines Llc 4 Cheryl Ave Wallingford CT 06492-3911 Ph: (203) 589-3432 |
| NPI Number | 1245045467 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245045467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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