Organization
SPECTRUM BEHAVIORAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNIL SAXENA MD (MEDICAL DIRECTOR)
(203) 612-7511
Entity
Organization
Contact information
Practice address
30 BUXTON FARM RD, SUITE140, STAMFORD, CT 06905-1224
(203) 612-7512
(203) 930-3655
Mailing address
30 BUXTON FARM RD, SUITE140, STAMFORD, CT 06905-1224
(203) 612-7512
(203) 930-3655
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
3117
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
043723
CT
Other
Enumeration date
10/11/2011
Last updated
01/30/2012
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