Organization
COMPREHENSIVE PSYCHOLOGICAL & ASSESSMENT SERVICES LLC
Active
Organization
COMPREHENSIVE PSYCHOLOGICAL & ASSESSMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARITA HERNANDEZ P.H.D. (PSYCHOLOGIST/OWNER)
(860) 757-3702
Entity
Organization
Contact information
Practice address
55 TOWN LINE RD, SUITE #101, WETHERSFIELD, CT 06109-4352
(860) 757-3702
(860) 757-3725
Mailing address
55 TOWN LINE RD, SUITE #101, WETHERSFIELD, CT 06109-4352
(860) 757-3702
(860) 757-3725
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002171
LICENSE
CT
Enumeration date
06/09/2011
Last updated
02/29/2012
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