Individual
PRAMILA NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
204 CHERRY ST, PSYCHOTHERAPY CENTER FOR CHILDREN ADULTS AND FAMILIES, MILFORD, CT 06460-3555
(203) 876-0545
(203) 876-0814
Mailing address
204 CHERRY ST, PSYCHOTHERAPY CENTER FOR CHILDREN ADULTS AND FAMILIES, MILFORD, CT 06460-3502
(203) 876-0545
(203) 876-0814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
022757
CT
2084P0800X
Psychiatry Physician
022757
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
022757
CT
Other
Enumeration date
07/18/2005
Last updated
08/30/2010
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