Pediatric Psychology Of Connecticut, Llc

LBN: Pediatric Psychology Of Connecticut, Llc
Pediatric Psychology Of Connecticut, Llc is an health care organization with primary practice located at 413 Orange St Suite 1, New Haven CT 06511-6424. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Pediatric Psychology Of Connecticut, Llc can be contacted via phone (888) 342-6002, or through Grudberg, Mark Vincent via phone (888) 342-6002.

Contact Information

Primary practice address
413 Orange St Suite 1 New Haven CT 06511-6424
Phone: (888) 342-6002
Fax: (347) 344-6594
Website:
Map and Directions
Authorized official contact:
Name: Grudberg, Mark Vincent PH.D.
Phone: (888) 342-6002

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3139 Connecticut

Profile Details

NPI number 1679839229
LBN Legal business name Pediatric Psychology Of Connecticut, Llc
DBA Doing business as
Authorized official Grudberg, Mark Vincent PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2012
Last updated Apr 9th, 2012 - about 12 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.

Request for update

Popular Providers