Organization
CONNECTICUT INSTITUTE OF BEHAVIORAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA HIGGINS (OFFICE MANAGER)
(860) 326-5405
Entity
Organization
Contact information
Practice address
495 GOLD STAR HWY STE 224, GROTON, CT 06340-6230
(860) 326-5405
(860) 326-5571
Mailing address
495 GOLD STAR HWY STE 224, GROTON, CT 06340-6230
(860) 326-5405
(860) 326-5571
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
041692
CT
Other
Enumeration date
11/24/2015
Last updated
05/25/2022
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