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Organization

EASTER SEALS CAPITAL REGION & EASTERN CONNECTICUT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN SHARP (PRESIDENT & CEO)
(860) 270-0600
Entity
Organization

Contact information

Practice address
100 DEERFIELD RD, WINDSOR, CT 06095-4252
(860) 270-0600
(860) 748-4432
Mailing address
100 DEERFIELD RD, WINDSOR, CT 06095-4252
(860) 270-0600
(860) 748-4432

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103TC0700X
Clinical Psychologist
Primary
1041C0700X
Clinical Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
074502
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004039632
CT
Enumeration date
07/11/2005
Last updated
03/26/2026
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