Organization
OPTUM BEHAVIORAL CARE OF CONNECTICUT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STACEY BRONSON (CEO)
(978) 222-3121
Entity
Organization
Contact information
Practice address
100 CUMMINGS CTR STE 456J, BEVERLY, MA 01915-6132
(978) 296-3460
Mailing address
67 BURNSIDE AVE, EAST HARTFORD, CT 06108-3408
(704) 506-6267
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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