Organization
CENTER FOR NEUROPOTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY PALMER PSYD (PARTNER)
(475) 221-8108
Entity
Organization
Contact information
Practice address
173 MONTOWESE ST, REAR UNIT, BRANFORD, CT 06405-3887
(475) 221-8108
Mailing address
173 MONTOWESE ST, REAR UNIT, BRANFORD, CT 06405-3887
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
002416
CT
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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