Organization
GENERATIONS PSYCHIATRY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN JOHN DILLON APRN (OWNER)
(203) 215-7344
Entity
Organization
Contact information
Practice address
420 E MAIN ST STE 5, BRANFORD, CT 06405-2941
(203) 433-2550
(949) 404-6557
Mailing address
420 E MAIN ST STE 5, BRANFORD, CT 06405-2941
(203) 433-2550
(949) 404-6557
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871861625
NPPES NPI REGISTRY
CT
Enumeration date
04/29/2019
Last updated
04/29/2019
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