Organization
JCP PSYCHOLOGICAL SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA C. PROCACCINI PSY.D. (PRESIDENT)
(203) 850-0140
Entity
Organization
Contact information
Practice address
7 DEERFIELD AVE, MILFORD, CT 06460-7317
(203) 850-0140
Mailing address
PO BOX 750834, FOREST HILLS, NY 11375-0834
(718) 268-6600
(718) 268-6065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3411
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3411
CT DPH
CT
Enumeration date
08/25/2014
Last updated
08/25/2014
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