River Valley Neuropsychology LLC
Clinical Neuropsychologist in Willimantic, CT. Organization (NPI-2).
NPI number1295194546
StatusActive
Last updated in NPPESFeb 15, 2016
Details
- NPI
- 1295194546
- Entity type
- Organization (NPI-2)
- Legal business name
- River Valley Neuropsychology LLC
- Organization subpart
- No
- Enumeration date
- Feb 15, 2016
- Last updated
- Feb 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 0002504 | CT | Yes |
Practice location
322 Main St Ste 2e-10Willimantic, CT 06226-3152
Phone 860-230-8851 · Fax 860-812-2317
Mailing address
234 Gurleyville RdStorrs, CT 06268-1416
Phone 860-230-8851 · Fax 860-812-2317
Authorized official
Sarah E Bullard
Phd
8602308851
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