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Organization

NOVA NEUROPSYCHOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN WROCKLAGE PHD (OWNER)
(203) 479-0554
Entity
Organization

Contact information

Practice address
110 WASHINGTON AVE LOWR LEVEL, NORTH HAVEN, CT 06473-1723
(203) 479-0554
(833) 411-6631
Mailing address
110 WASHINGTON AVE LOWR LEVEL, NORTH HAVEN, CT 06473-1723
(203) 479-0554
(833) 411-6631

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103TC0700X
Clinical Psychologist

Other

Enumeration date
10/26/2018
Last updated
10/26/2018
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