Individual
MICHAEL ANDREW WIDROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-4966
Mailing address
920 E 17TH ST, APARTMENT 606, BROOKLYN, NY 11230-3751
(917) 402-0360
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/10/2015
Last updated
04/12/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us