| Psychological Associates Llc | |
|
2157 North Ave Bridgeport CT 06604-2438 | |
| (203) 335-0345 | |
| Not Available |
| Full Name | Psychological Associates Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2157 North Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Robert Matefy (OWNER) |
| Authorized Official Contact | 2033350345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Associates Llc 2157 North Ave Bridgeport CT 06604-2438 Ph: () - | Psychological Associates Llc 2157 North Ave Bridgeport CT 06604-2438 Ph: (203) 335-0345 |
| NPI Number | 1770802886 |
|---|---|
| Provider Enumeration Date | 05/28/2010 |
| Last Update Date | 08/31/2014 |
| Medicare PECOS PAC ID | 8628423605 |
|---|---|
| Medicare Enrollment ID | O20231011001303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770802886 | NPI | - | NPPES |
| Provider Name | Robert E Matefy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225173131 PECOS PAC ID: 3476742263 Enrollment ID: I20110110000471 |
| Provider Name | Kirk Denys Matefy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649879602 PECOS PAC ID: 2163866252 Enrollment ID: I20240216001228 |
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