Individual
MARY E VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 HOLLY HILL LN, SUITE 240, GREENWICH, CT 06830-6074
(203) 863-2926
(203) 863-3744
Mailing address
55 HOLLY HILL LN, SUITE 240, GREENWICH, CT 06830-6074
(203) 863-2926
(203) 863-3744
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
003596
CT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/01/2012
Last updated
11/08/2016
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