Organization
SOUTHWEST COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BECKER PSY.D (COUNSELOR)
(203) 332-3105
Entity
Organization
Contact information
Practice address
1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605
(203) 332-3105
(203) 331-4716
Mailing address
1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605
(203) 332-3105
(203) 331-4716
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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