Organization
NORTHEAST NEUROPSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN HAMILTON (CEO)
(888) 344-3893
Entity
Organization
Contact information
Practice address
609 W JOHNSON AVE STE 104, CHESHIRE, CT 06410-4506
(203) 272-6007
(203) 272-8895
Mailing address
609 W JOHNSON AVE STE 104, CHESHIRE, CT 06410-4506
(203) 272-6007
(203) 272-8895
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
001864
CT
103G00000X
Clinical Neuropsychologist
002206
CT
103G00000X
Clinical Neuropsychologist
002847
CT
Other
Enumeration date
08/14/2008
Last updated
09/11/2025
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