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Organization
CONNECTICUT GERIATRIC PSYCHOLOGICAL SERVICES, PC
Active
Organization
CONNECTICUT GERIATRIC PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY W. WELLES ED.D. (PRESIDENT)
(914) 937-6174
Entity
Organization
Contact information
Practice address
112 BETSY BROWN RD, PORT CHESTER, NY 10573-2231
(914) 937-6174
(914) 937-6174
Mailing address
112 BETSY BROWN RD, PORT CHESTER, NY 10573-2231
(914) 937-6174
(914) 937-6174
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
2657
CT
Other
Enumeration date
02/17/2010
Last updated
10/27/2011
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