Organization
PSY-VISIONS OF CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D. STRACKS MD, MS, MPH (PRESIDENT)
(706) 718-8056
Entity
Organization
Contact information
Practice address
88 MAIN ST S STE B201, SOUTHBURY, CT 06488-2276
(203) 405-1745
(203) 405-1745
Mailing address
370 WEEKEEPEEMEE RD, WOODBURY, CT 06798-1621
(706) 718-8056
(203) 405-1745
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
54602
CT
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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