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Organization
COLLABORATIVE PSYCHIATRIC SERVICES, LLC
Active
Organization
COLLABORATIVE PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY K SAUCIER APRN (BUSINESS OWNER)
(860) 517-8557
Entity
Organization
Contact information
Practice address
58 W MAIN ST, PLAINVILLE, CT 06062-1993
(860) 517-8557
Mailing address
P.O. BOX 857, 58 WEST MAIN ST, PLAINVILLE, CT 06062-0857
(860) 517-8557
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
NULL
2084P0805X
Geriatric Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
03/19/2015
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