# GREENWICH CHILD PSYCHOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003499526
- **Authorized official:** DR. JUDITH ZACKSON PHD (CLINICAL DIRECTOR, FOUNDER)
- **Authorized official phone:** (203) 900-1666

## Contact information

- **Practice address:** 15 VALLEY DR, GREENWICH, CT 06831-5205
- **Practice address phone:** (203) 900-1666
- **Practice address fax:** (203) 900-1140
- **Mailing address:** 15 VALLEY DR, GREENWICH, CT 06831-5205
- **Mailing address phone:** (203) 900-1666
- **Mailing address fax:** (203) 900-1140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2021
- **Last updated:** 12/08/2023