Organization
FARMINGTON VALLEY INTEGRATIVE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA DALTON TAYLOR PHD (CLINICAL PSYCHOLOGIST)
(860) 751-9257
Entity
Organization
Contact information
Practice address
35 TOWER LN STE 104, AVON, CT 06001-4237
(860) 751-9257
(860) 516-1170
Mailing address
35 TOWER LN STE 104, AVON, CT 06001-4237
(860) 751-9257
(860) 516-1170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003176
CT
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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