Organization
LAUREL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY WARREN SUMMERVILLE PSY.D., LCSW (PARTNER)
(203) 287-8227
Entity
Organization
Contact information
Practice address
295 WASHINGTON AVE, SUITE 9, HAMDEN, CT 06518-3025
(203) 287-8227
(203) 287-9502
Mailing address
295 WASHINGTON AVE, SUITE 9, HAMDEN, CT 06518-3025
(203) 287-8227
(203) 287-9502
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
589570
CT
Other
Enumeration date
07/21/2006
Last updated
11/28/2011
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