Organization
WATERSIDE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA L GREENSPAN PSYD (OWNER)
(203) 535-5522
Entity
Organization
Contact information
Practice address
130 MONTOWESE ST, BRANFORD, CT 06405-3841
(203) 535-5522
(812) 759-9869
Mailing address
PO BOX 385, MADISON, CT 06443-0385
(812) 853-9110
(812) 759-9869
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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