| Gloria Small Phd Llc | |
|
26 Long Hill Rd Guilford CT 06437-1870 | |
| (203) 453-2932 | |
| (203) 453-9062 |
| Full Name | Gloria Small Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 26 Long Hill Rd, Guilford, Connecticut |
| Authorized Official Name and Position | Gloria Smallp (PSYCHOLOGIST) |
| Authorized Official Contact | 2034532932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria Small Phd Llc 26 Long Hill Rd Guilford CT 06437-1870 Ph: (203) 453-2932 | Gloria Small Phd Llc 26 Long Hill Rd Guilford CT 06437-1870 Ph: (203) 453-2932 |
| NPI Number | 1487947701 |
|---|---|
| Provider Enumeration Date | 05/19/2011 |
| Last Update Date | 05/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487947701 | NPI | - | NPPES |
| 004140852 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | OO1413 (Connecticut) | Primary |
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