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Organization

ALLIANCE - PSYCHOLOGY ADVOCACY & SUPPORT LLC

Active
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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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