Debora A. Kustron, Psy.D., Llc

LBN: Debora A. Kustron, Psy.D., Llc
Debora A. Kustron, Psy.D., Llc is an health care organization with primary practice located at 61 Bloomfield Ave 2Nd Floor, Windsor CT 06095-2809. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Debora A. Kustron, Psy.D., Llc can be contacted via phone (860) 683-2352, or through Kustron, Debora A via phone (860) 683-2352.

Contact Information

Primary practice address
61 Bloomfield Ave 2Nd Floor Windsor CT 06095-2809
Phone: (860) 683-2352
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kustron, Debora A PSY.D.
Phone: (860) 683-2352

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002140 Connecticut

Profile Details

NPI number 1407134554
LBN Legal business name Debora A. Kustron, Psy.D., Llc
DBA Doing business as
Authorized official Kustron, Debora A PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2011
Last updated Jul 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407134554 NPPES
Connecticut MEDICAID 1316087950

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