Organization
PSYCHOLOGICAL HEALTH ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCI B. KORWIN PHD (PRINCIPAL)
(860) 233-9772
Entity
Organization
Contact information
Practice address
701 COTTAGE GROVE RD STE 302, BLOOMFIELD, CT 06002-3080
(860) 233-9772
(860) 236-9402
Mailing address
701 COTTAGE GROVE RD STE C210, BLOOMFIELD, CT 06002-4207
(860) 233-9772
(860) 236-9402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/08/2006
Last updated
08/25/2020
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