| Dr Jessica Lord Bean, PHD | |
|
300 Hebron Ave, Suite 111, Glastonbury, CT 06033-2176 | |
| (860) 633-8155 | |
| (860) 633-8176 |
| Full Name | Dr Jessica Lord Bean |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 300 Hebron Ave, Glastonbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255451134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 2864 (Connecticut) | Primary |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Lord Bean, PHD 366 Ash Swamp Rd, Glastonbury, CT 06033-3504 Ph: (860) 729-3963 | Dr Jessica Lord Bean, PHD 300 Hebron Ave, Suite 111, Glastonbury, CT 06033-2176 Ph: (860) 633-8155 |
Dr. Sandra E. Hartdagen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 148 Eastern Blvd, Glastonbury, CT 06033 Phone: 860-652-3687 | |
Dr. James M. Conti, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 41c New London Tpke, Glastonbury, CT 06033 Phone: 860-268-2020 Fax: 860-659-4358 | |
Dr. Alana Marie Embriano, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200c Oak Street, Glastonbury, CT 06033 Phone: 860-657-8868 Fax: 860-657-8802 | |
Dr. Stephanie A. Field, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 122a Naubuc Ave, Suite 214, Glastonbury, CT 06033 Phone: 860-266-7296 | |
Robert G Sutton, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 55 Nye Rd, Glastonbury, CT 06033 Phone: 860-521-4788 | |
James William Loomis, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8 Twelve Acre Ln, Glastonbury, CT 06033 Phone: 860-202-5752 | |
Dr. Katelin Carr, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 Hebron Ave Ste 111, Glastonbury, CT 06033 Phone: 860-633-8155 |