| Seaside Psychological | |
|
19 W Cove Rd Moodus CT 06469-1300 | |
| (203) 530-3392 | |
| Not Available |
| Full Name | Seaside Psychological |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 19 W Cove Rd, Moodus, Connecticut |
| Authorized Official Name and Position | Christine Dauser (DIRECTOR) |
| Authorized Official Contact | 2035303392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Psychological 19 W Cove Rd Moodus CT 06469-1300 Ph: (203) 530-3392 | Seaside Psychological 19 W Cove Rd Moodus CT 06469-1300 Ph: (203) 530-3392 |
| NPI Number | 1326583824 |
|---|---|
| Provider Enumeration Date | 12/20/2016 |
| Last Update Date | 12/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326583824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 002182 (Connecticut) | Primary |
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