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Organization

JP BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PURVI SHAH VANDERPLOEG PH.D (C0-OWNER- CLINICAL PSYCHOLOGIST)
(516) 205-6080
Entity
Organization

Contact information

Practice address
45 S MAIN ST, SUITE 70, WEST HARTFORD, CT 06107-2441
(516) 205-6080
Mailing address
129 PENN DR, WEST HARTFORD, CT 06119-1041
(516) 205-6080

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002878
CT

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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