Individual
BABITHA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
10 TALCOTT NOTCH RD, FARMINGTON, CT 06032-1800
(860) 679-6700
(860) 679-6736
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8762
CT
Other
Enumeration date
03/06/2020
Last updated
09/26/2022
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