| Whitney Balliett Llc | |
|
53 Hollow Rd Woodbury CT 06798-3317 | |
| (508) 932-8853 | |
| Not Available |
| Full Name | Whitney Balliett Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 53 Hollow Rd, Woodbury, Connecticut |
| Authorized Official Name and Position | Whitney Balliett (OWNER) |
| Authorized Official Contact | 5089328853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney Balliett Llc 53 Hollow Rd Woodbury CT 06798-3317 Ph: (508) 932-8853 | Whitney Balliett Llc 53 Hollow Rd Woodbury CT 06798-3317 Ph: (508) 932-8853 |
| NPI Number | 1508339110 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 10/29/2022 |
| Certification Date | 10/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508339110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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