Organization
AED PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DICKERSON LPC (OWNER/PSYCHOTHERAPIST)
(203) 402-2121
Entity
Organization
Contact information
Practice address
140 ELM ST STE 1, NEW CANAAN, CT 06840-5400
(203) 240-2121
Mailing address
11 DEER RUN RD, WILTON, CT 06897-1204
(646) 319-1571
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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