| Connecticut Geriatric Psychological Services, Pc | |
|
112 Betsy Brown Rd Port Chester NY 10573-2231 | |
| (914) 937-6174 | |
| (914) 937-6174 |
| Full Name | Connecticut Geriatric Psychological Services, Pc |
|---|---|
| Speciality | Psychologist - Adult Development & Aging |
| Location | 112 Betsy Brown Rd, Port Chester, New York |
| Authorized Official Name and Position | Timothy W. Welles (PRESIDENT) |
| Authorized Official Contact | 9149376174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Geriatric Psychological Services, Pc 112 Betsy Brown Rd Port Chester NY 10573-2231 Ph: (914) 937-6174 | Connecticut Geriatric Psychological Services, Pc 112 Betsy Brown Rd Port Chester NY 10573-2231 Ph: (914) 937-6174 |
| NPI Number | 1124340203 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 10/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124340203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0700X | Psychologist - Adult Development & Aging | 2657 (Connecticut) | Primary |
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