Organization
POST TRAUMATIC STRESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HADAR LUBIN MD (CO-DIRECTOR)
(203) 624-2146
Entity
Organization
Contact information
Practice address
19 EDWARDS ST, NEW HAVEN, CT 06511-7313
(203) 624-2146
(203) 624-2791
Mailing address
19 EDWARDS ST, NEW HAVEN, CT 06511-7313
(203) 624-2146
(203) 624-2791
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0892
CT
2084P0800X
Psychiatry Physician
032090
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
001420
CT
Other
Enumeration date
12/13/2005
Last updated
03/16/2012
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