Organization
WEST ROCK WELLNESS PLLC
Active
Organization
WEST ROCK WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN SLOSHOWER MD (CO-DIRECTOR)
(203) 974-2693
Entity
Organization
Contact information
Practice address
869 WHALLEY AVE, NEW HAVEN, CT 06515-1728
(203) 930-2995
Mailing address
869 WHALLEY AVE, NEW HAVEN, CT 06515-1728
(203) 930-2995
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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