Organization
RUBY PSYCHIATRIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GRANVILLE MARTIN ESQ (GENERAL COUNSEL)
(860) 494-5884
Entity
Organization
Contact information
Practice address
125 LASALLE RD STE 300, WEST HARTFORD, CT 06107-2311
(860) 494-5884
Mailing address
225 BOSTON POST RD UNIT 38, EAST LYME, CT 06333-7002
(860) 494-5884
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/27/2024
Last updated
04/10/2026
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