Organization
WESTERN CONNECTICUT BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA BIREN CAVERLY PH.D. (PSYCHOLOGIST)
(203) 885-0500
Entity
Organization
Contact information
Practice address
828 FEDERAL RD, 2ND FLOOR, BROOKFIELD, CT 06804-1830
(203) 885-0500
(203) 702-5345
Mailing address
828 FEDERAL RD, 2ND FLOOR, BROOKFIELD, CT 06804-1830
(203) 885-0500
(203) 702-5345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
3248
CT
103TC0700X
Clinical Psychologist
Primary
3248
CT
103TC2200X
Clinical Child & Adolescent Psychologist
3248
CT
103TF0200X
Forensic Psychologist
3248
CT
103TH0004X
Health Psychologist
3248
CT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3248
CT
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/04/2013
Last updated
09/21/2015
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