| Professional Psychotherapy Associates Of Milford Llc | |
|
266 Broad St Milford CT 06460 | |
| (203) 874-3749 | |
| (203) 874-3749 |
| Full Name | Professional Psychotherapy Associates Of Milford Llc |
|---|---|
| Speciality | Psychologist |
| Location | 266 Broad St, Milford, Connecticut |
| Authorized Official Name and Position | Melvyn Hyman (LLC MEMBER) |
| Authorized Official Contact | 2038743749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Psychotherapy Associates Of Milford Llc 266 Broad St Milford CT 06460 Ph: (203) 874-3749 | Professional Psychotherapy Associates Of Milford Llc 266 Broad St Milford CT 06460 Ph: (203) 874-3749 |
| NPI Number | 1558422048 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 12/13/2007 |
| Medicare PECOS PAC ID | 4880649649 |
|---|---|
| Medicare Enrollment ID | O20050315000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558422048 | NPI | - | NPPES |
| Provider Name | Melvyn Hyman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679648976 PECOS PAC ID: 0244311074 Enrollment ID: I20120131000522 |
| Provider Name | Donna M Reseska |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1063587350 PECOS PAC ID: 5496065997 Enrollment ID: I20151113000195 |
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