Vayalakkara, Jyothi

Vayalakkara, Jyothi is an individual health care provider with primary practice located at 152 Deming St Providercare Plus, Pc, South Windsor CT 06074-3740. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Vayalakkara, Jyothi can be contacted via phone (860) 644-4472.

Contact Information

Primary practice address
152 Deming St Providercare Plus, Pc South Windsor CT 06074-3740
Phone: (860) 644-4472
Fax: (860) 644-3001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 002590 Connecticut
Behavioral Health & Social Service Providers / Psychologist 103T00000X 002590 Connecticut

Profile Details

NPI number 1558449660
LBN Legal business name Vayalakkara, Jyothi
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558449660 NPPES
Connecticut Other 060002590CT01 ANTHEM BCBS

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