Organization
FAMILYLINK COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY MARIE MATTIACE PSY.D. (CLINICAL PSYCHOLOGIST)
(914) 980-4724
Entity
Organization
Contact information
Practice address
132 MONROE TPKE STE 3, TRUMBULL, CT 06611-6351
(914) 980-4724
Mailing address
69 COTTAGE ST, TRUMBULL, CT 06611-2827
(914) 980-4724
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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