Organization
THE CENTER FOR CHILDREN WITH SPECIAL NEEDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID POWERS PSY.D. (DIRECTOR)
(860) 430-1762
Entity
Organization
Contact information
Practice address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
(860) 430-1762
Mailing address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
(860) 430-1762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
002929
CT
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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