Harbor Bridge Emotional Health, LLC
Psychologist, Clinical in Greenwich, CT. Organization (NPI-2).
NPI number1144420175
StatusActive
Last updated in NPPESJul 18, 2007
Details
- NPI
- 1144420175
- Entity type
- Organization (NPI-2)
- Legal business name
- Harbor Bridge Emotional Health, LLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2007
- Last updated
- Jul 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 02766 | CT | Yes |
Practice location
406 W Putnam AveGreenwich, CT 06830-6215
Phone 203-661-1054
Mailing address
406 W Putnam AveGreenwich, CT 06830-6215
Phone 203-661-1054
Authorized official
Cheryl K Wilczak
Owner
2036611054
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