| Growing Potential, Llc | |
|
495 Gold Star Hwy Ste 324 Groton CT 06340-6230 | |
| (860) 961-0952 | |
| Not Available |
| Full Name | Growing Potential, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 495 Gold Star Hwy Ste 324, Groton, Connecticut |
| Authorized Official Name and Position | Mary Parker (LPC) |
| Authorized Official Contact | 8609610952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Potential, Llc 495 Gold Star Hwy Ste 324 Groton CT 06340-6230 Ph: (860) 961-0952 | Growing Potential, Llc 495 Gold Star Hwy Ste 324 Groton CT 06340-6230 Ph: (860) 961-0952 |
| NPI Number | 1437607538 |
|---|---|
| Provider Enumeration Date | 09/17/2016 |
| Last Update Date | 09/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437607538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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