Organization
SPRING STREET PSYCHIATRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET SHAPIRO-WEISS M.D. (MEDICAL DIRECTOR)
(860) 344-9558
Entity
Organization
Contact information
Practice address
7 SPRING ST, MIDDLETOWN, CT 06457-2238
(860) 344-9558
(860) 347-6265
Mailing address
PO BOX 1018, MIDDLETOWN, CT 06457-1018
(860) 344-9558
(860) 347-6265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
24301
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010024301CT01
BLUE CROSS/BLUE SHIELD
—
Enumeration date
02/19/2009
Last updated
02/19/2009
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