Organization
ANXIETY TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS A MALTBY PH.D. (PRESIDENT)
(860) 269-7813
Entity
Organization
Contact information
Practice address
6 FOREST PARK DR, FARMINGTON, CT 06032-1480
(860) 269-7813
(860) 269-8621
Mailing address
6 FOREST PARK DR, FARMINGTON, CT 06032-1480
(860) 269-7813
(860) 269-8621
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
002464
CT
103TB0200X
Cognitive & Behavioral Psychologist
2528
CT
103TB0200X
Cognitive & Behavioral Psychologist
2878
CT
103TB0200X
Cognitive & Behavioral Psychologist
2956
CT
103TB0200X
Cognitive & Behavioral Psychologist
3478
CT
103TB0200X
Cognitive & Behavioral Psychologist
3623
CT
103TC0700X
Clinical Psychologist
Primary
002464
CT
103TC0700X
Clinical Psychologist
2528
CT
103TC0700X
Clinical Psychologist
2878
CT
103TC0700X
Clinical Psychologist
2956
CT
103TC0700X
Clinical Psychologist
3478
CT
103TC0700X
Clinical Psychologist
3623
CT
Other
Enumeration date
07/31/2007
Last updated
03/15/2017
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