| Dr Maxine L Varanko, PSYD | |
|
1 Wahoo Ave, Groton, CT 06349-2324 | |
| (860) 694-4966 | |
| (860) 694-3388 |
| Full Name | Dr Maxine L Varanko |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 1 Wahoo Ave, Groton, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467726737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 002636 (Connecticut) | Primary |
| Entity Name | Step Up Care Pc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maxine L Varanko, PSYD 1364 Pequot Trl, Stonington, CT 06378-1931 Ph: (860) 326-1797 | Dr Maxine L Varanko, PSYD 1 Wahoo Ave, Groton, CT 06349-2324 Ph: (860) 694-4966 |
Dr. Mayela Llaurador-castillo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4966 | |
Eguono Voke Akpoduado, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4998 | |
Dr. Danielle Montufar Gleason, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Nmrtu Groton, 1 Wahoo Drive, Groton, CT 06349 Phone: 860-694-4837 Fax: 860-694-3157 | |
Mr. James Rory Glennon, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Naval Branch Health Clinic, Groton, CT 06349 Phone: 860-694-4966 Fax: 860-694-2101 | |
Kathleen Smart, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4966 | |
Mr. William Anthony Smithson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4966 |