Family Life Psychological Services Pc

NPI 1164594065 - Psychologist - 103T00000X

NPI Details
NPI 1164594065
Enumeration Date 11/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HERBERT S HERBERT
Position PRESIDENT
Phone (203) 968-0469
Fax
Practice Location
106 GUN CLUB ROAD
STAMFORD CT, 06903-1024, US
Phone (203) 968-0469
Fax
Business Location
106 GUN CLUB ROAD
STAMFORD CT, 06903-1024, US
Phone (203) 968-0469
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Connecticut
License Number 000918
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According to our database, Family Life Psychological Services Pc NPI is 1164594065, taxonomy code is 103T00000X and license number is 000918, license state is located at Connecticut. Family Life Psychological Services Pc physically located at 106 Gun Club Road, Stamford CT, 06903-1024. NPI Number 1033115704 has the healthcare provider type.

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1164594065 NPI number is provided on an as is basis without warranty of any kind. 1164594065 is maintained by the National Plan & Provider Enumeration System. The contents of Family Life Psychological Services Pc are for informational purposes only.