| Coleen Dobo PsyD LLC | |
|
11 Walts Hl Bloomfield CT 06002-1202 | |
| (860) 372-9437 | |
| Not Available |
| Full Name | Coleen Dobo PsyD LLC |
|---|---|
| Speciality | Psychologist |
| Location | 11 Walts Hl, Bloomfield, Connecticut |
| Authorized Official Name and Position | Coleen Dobo (PSYCHOLOGIST OWNER) |
| Authorized Official Contact | 8603729437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coleen Dobo PsyD LLC 11 Walts Hl Bloomfield CT 06002-1202 Ph: (860) 372-9437 | Coleen Dobo PsyD LLC 11 Walts Hl Bloomfield CT 06002-1202 Ph: (860) 372-9437 |
| NPI Number | 1568172013 |
|---|---|
| Provider Enumeration Date | 11/23/2022 |
| Last Update Date | 11/23/2022 |
| Certification Date | 11/23/2022 |
| Medicare PECOS PAC ID | 6608245253 |
|---|---|
| Medicare Enrollment ID | O20221205000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568172013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | () | Primary |
| Provider Name | Coleen Dobo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477625150 PECOS PAC ID: 7719874361 Enrollment ID: I20040301000178 |
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