Organization
ALLIANCE - PSYCHOLOGY ADVOCACY & SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN COLWELL PH.D. (DIRECTOR)
(203) 232-7956
Entity
Organization
Contact information
Practice address
195 S MAIN ST STE 5, CHESHIRE, CT 06410-3171
(203) 232-7956
(203) 298-6254
Mailing address
1393 DIAMOND HILL RD, CHESHIRE, CT 06410-1899
(203) 232-7956
(203) 298-6254
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3129
CT LICENSE PSYCHOLOGY
CT
01
—
NONE
NONE. THE PROGRAM MADE ME ADD SOMETHING.
CT
Enumeration date
07/25/2022
Last updated
06/04/2025
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