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Organization
AMY A PAYSON EDD CS APRN BC LLC
Active
Organization
AMY A PAYSON EDD CS APRN BC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY A PAYSON EDD CS APRN BC (PSYCHIATRIC NURSE PRACTITIONER)
(203) 255-0600
Entity
Organization
Contact information
Practice address
23 SHERMAN ST, FAIRFIELD, CT 06824-5821
(203) 255-0600
(203) 375-5619
Mailing address
16 OLD DAIRY RD, TRUMBULL, CT 06611-4954
(203) 255-0600
(203) 375-5619
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000869
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122025
VALUE OPTIONS
CT
01
—
173546
MENTAL HEALTH NETWORK
CT
01
—
400000869CT01
ANTHEM BLUE CROSS BLUE SH
CT
Enumeration date
01/01/2008
Last updated
01/01/2008
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