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Organization
CONNECTICUT INSTITUTE OF BEHAVIORAL HEALTH INC.
Active
Organization
CONNECTICUT INSTITUTE OF BEHAVIORAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA HIGGINS (OFFICE MANAGER)
(860) 326-5405
Entity
Organization
Contact information
Practice address
495 GOLD STAR HWY STE 224, GROTON, CT 06340-6230
(860) 326-5405
(860) 326-5571
Mailing address
495 GOLD STAR HWY STE 224, GROTON, CT 06340-6230
(860) 326-5405
(860) 326-5571
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
041692
CT
Other
Enumeration date
11/24/2015
Last updated
05/25/2022
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