Organization
CENTRAL CT THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA JEAN LAROSE PSYD (PSYCHOLOIGST)
(860) 385-1620
Entity
Organization
Contact information
Practice address
124 DELAHUNTY DR, SOUTHINGTON, CT 06489-3667
(860) 385-1620
Mailing address
2389 MAIN ST, GLASTONBURY, CT 06033-4617
(860) 385-1620
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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