| New England Psychological &neuropsychological Associates Llc | |
|
175 Capital Blvd Ste 402 Rocky Hill CT 06067-3914 | |
| (508) 816-8787 | |
| (860) 638-4638 |
| Full Name | New England Psychological &neuropsychological Associates Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 175 Capital Blvd Ste 402, Rocky Hill, Connecticut |
| Authorized Official Name and Position | Jyothi Vayalakkara (OWNER) |
| Authorized Official Contact | 5088168787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New England Psychological &neuropsychological Associates Llc 208 Scarborough Ln Middletown CT 06457-7547 Ph: (860) 770-7779 | New England Psychological &neuropsychological Associates Llc 175 Capital Blvd Ste 402 Rocky Hill CT 06067-3914 Ph: (508) 816-8787 |
| NPI Number | 1528639713 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 07/08/2021 |
| Certification Date | 07/08/2021 |
| Medicare PECOS PAC ID | 9032514385 |
|---|---|
| Medicare Enrollment ID | O20210824003374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528639713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Jyothi Vayalakkara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558449660 PECOS PAC ID: 4981603263 Enrollment ID: I20061214000253 |
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