| Spectrum Family Therapy Pllc | |
|
75 Granite St Ste 1b New London CT 06320-5771 | |
| (860) 857-4114 | |
| Not Available |
| Full Name | Spectrum Family Therapy Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 75 Granite St Ste 1b, New London, Connecticut |
| Authorized Official Name and Position | Mary E Myers Pasquino (CLINICIAN) |
| Authorized Official Contact | 8608574114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Family Therapy Pllc 75 Granite St Ste 1b New London CT 06320-5771 Ph: (860) 857-4114 | Spectrum Family Therapy Pllc 75 Granite St Ste 1b New London CT 06320-5771 Ph: (860) 857-4114 |
| NPI Number | 1104699677 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104699677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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