Organization
SACRED INTELLIGENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRLYN L CURRY AVERY PH.D (LICENSED PSYCHOLOGIST)
(860) 443-7505
Entity
Organization
Contact information
Practice address
400 BAYONET ST, SUITE 304, NEW LONDON, CT 06320-2600
(860) 443-7505
Mailing address
400 BAYONET ST, SUITE 304, NEW LONDON, CT 06320-2600
(860) 443-7505
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
002364
CT
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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