Organization
CONNECTICUT PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY SEIGEL APRN (CEO)
(860) 405-8330
Entity
Organization
Contact information
Practice address
24 CHANNING ST, NEW LONDON, CT 06320-5735
(860) 442-3380
Mailing address
17 WOODLAND RD, MADISON, CT 06443-2342
(860) 405-8330
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
003815
CT
Other
Enumeration date
03/09/2009
Last updated
10/13/2009
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