| Brownstone Psychological Associates, Llc | |
|
199 Main Street Durham CT 06422 | |
| (860) 788-3231 | |
| (888) 844-4036 |
| Full Name | Brownstone Psychological Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 199 Main Street, Durham, Connecticut |
| Authorized Official Name and Position | Debra Shepard Nelson (PRESIDENT (CO-OWNER)) |
| Authorized Official Contact | 8607883231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brownstone Psychological Associates, Llc Po Box 2 Durham CT 06422-0002 Ph: () - | Brownstone Psychological Associates, Llc 199 Main Street Durham CT 06422 Ph: (860) 788-3231 |
| NPI Number | 1386993574 |
|---|---|
| Provider Enumeration Date | 09/03/2012 |
| Last Update Date | 09/03/2013 |
| Medicare PECOS PAC ID | 8527376482 |
|---|---|
| Medicare Enrollment ID | O20150928000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386993574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 003123 (Connecticut) | Primary |
| 103TC0700X | Psychologist - Clinical | 002321 (Connecticut) | Secondary |
| Provider Name | Debra S Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851640148 PECOS PAC ID: 9133437007 Enrollment ID: I20151001002617 |
| Provider Name | Stacia K Bjarnason |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932454550 PECOS PAC ID: 2860700739 Enrollment ID: I20160914001791 |
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