Organization
PSYCHOLOGICAL ASSOCIATES OF CHESHIRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN JARAMILLO PSYD (PARTNER)
(203) 272-6804
Entity
Organization
Contact information
Practice address
290 HIGHLAND AVE STE 2, CHESHIRE, CT 06410-2564
(203) 272-6804
Mailing address
290 HIGHLAND AVE STE 2, CHESHIRE, CT 06410-2564
(203) 272-6804
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033402086
NPI
—
01
—
1245600451
NPI
—
01
—
1588174262
NPI
—
Enumeration date
11/08/2017
Last updated
11/08/2017
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