| Lower Valley Psychotherapy Services Llc | |
|
14 Union St Deep River CT 06417-2010 | |
| (860) 304-0325 | |
| Not Available |
| Full Name | Lower Valley Psychotherapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 14 Union St, Deep River, Connecticut |
| Authorized Official Name and Position | Christine Nucci (OWNER) |
| Authorized Official Contact | 8603040325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lower Valley Psychotherapy Services Llc 14 Union St Deep River CT 06417-2010 Ph: (860) 304-0325 | Lower Valley Psychotherapy Services Llc 14 Union St Deep River CT 06417-2010 Ph: (860) 304-0325 |
| NPI Number | 1689206815 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Medicare PECOS PAC ID | 6002243151 |
|---|---|
| Medicare Enrollment ID | O20200302000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689206815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christine Ann Nucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386204238 PECOS PAC ID: 5395074348 Enrollment ID: I20190917001243 |
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