Organization
ELLEN COLOCCIA, PSY D LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN G COLOCCIA PSY D (OWNER)
(860) 633-2810
Entity
Organization
Contact information
Practice address
84 CANAL RD, GRANBY, CT 06035-2220
(860) 904-3089
Mailing address
84 CANAL RD, GRANBY, CT 06035-2220
(860) 904-3089
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2853
CT
Other
Enumeration date
01/10/2014
Last updated
11/16/2022
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