Organization
CLUFOIR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVENDER PANWAR BE, ME (OWNER)
(203) 404-1010
Entity
Organization
Contact information
Practice address
1783 MERIDEN WATERBURY TPKE, SUITE K 11, SOUTHINGTON, CT 06489-0268
(203) 404-1010
(860) 426-2898
Mailing address
102 PEMBROKE RD, HAMDEN, CT 06514-2626
(203) 404-1010
(860) 426-2898
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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