| Dr Vamsi Koneru, PHD | |
|
176 W Main St, Avon, CT 06001-4354 | |
| (305) 321-5384 | |
| Not Available |
| Full Name | Dr Vamsi Koneru |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 176 W Main St, Avon, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598051591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 003122 (Connecticut) | Primary |
| Entity Name | Community Mental Health Affiliates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174624423 PECOS PAC ID: 3375431968 Enrollment ID: O20040305000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vamsi Koneru, PHD 176 W Main St, Avon, CT 06001-4354 Ph: (305) 321-5384 | Dr Vamsi Koneru, PHD 176 W Main St, Avon, CT 06001-4354 Ph: (305) 321-5384 |
Elizabeth S Thayer, PHD CLINICAL PSYCHOL Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Dale Road, Suite 201, Avon, CT 06001 Phone: 860-676-9350 Fax: 860-678-7178 | |
Dorica Nevin, PSYD. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 21 Waterville Rd, Avon, CT 06001 Phone: 860-284-0181 Fax: 860-284-6804 | |
Wendy F Habelow, PHD CLINICAL PSYCHOL Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Dale Road, Suite 201, Avon, CT 06001 Phone: 860-676-9350 Fax: 860-678-7178 | |
Dr. Samuel Moy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7 Rexinger Ln, Avon, CT 06001 Phone: 860-704-6188 | |
Hsiao-ching Chu, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Darling Dr Ste 16, Avon, CT 06001 Phone: 860-798-4148 | |
Ted Scott Sewitch, PHD CLINICAL PSYCHOL Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Dale Road, Suite 201, Avon, CT 06001 Phone: 860-676-9350 Fax: 860-678-7178 | |
Dr. Susan J Sampl, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 34 Dale Rd Ste 212, Avon, CT 06001 Phone: 860-803-9167 |