Organization
PSYCHIATRIC SERVICES ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA JOAN GREEN M.D. (SECTY/TREAS)
(860) 635-4429
Entity
Organization
Contact information
Practice address
372 MAIN ST, CROMWELL, CT 06416-2305
(860) 635-4429
(860) 632-2922
Mailing address
372 MAIN ST, CROMWELL, CT 06416-2305
(860) 635-4429
(860) 632-2922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
000345
CT
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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