Organization · Type 2 NPI
Connecticut Psychiatric Services LLC
Psychiatric/Mental Health Nurse Practitioner · New London, CT
NPI number
1255572079
Active
Practice location
24 Channing St
New London, CT 06320-5735
Mailing address
17 Woodland Rd
Madison, CT 06443-2342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 003815 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
Other psychiatric/mental health nurse practitioner providers in New London
About NPI 1255572079
Connecticut Psychiatric Services LLC's National Provider Identifier is 1255572079, issued on Mar 9, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New London, CT. The record was last updated on Oct 13, 2009.