Providercare Plus Pc

NPI 1396724811 - Psychologist - 103T00000X

NPI Details
NPI 1396724811
Enumeration Date 01/12/2006
Last Updated 02/12/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PHILIP S. PHILIP
Position DIRECTOR & CLINICAL PSYCHOLOGIST
Phone (860) 644-4472
Fax (860) 644-3001
Practice Location
152 DEMING ST
PROVIDERCARE PLUS
SOUTH WINDSOR CT, 06074-3740, US
Phone (860) 644-4472
Fax (860) 644-3001
Business Location
152 DEMING ST
PROVIDERCARE PLUS
SOUTH WINDSOR CT, 06074-3740, US
Phone (860) 644-4472
Fax (860) 644-3001
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
Remove 1396724811 NPI Number
 

According to our database, Providercare Plus Pc NPI is 1396724811, taxonomy code is 103T00000X Providercare Plus Pc physically located at 152 Deming St, South Windsor CT, 06074-3740. NPI Number 1033115704 has the healthcare provider type.

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1396724811 NPI number is provided on an as is basis without warranty of any kind. 1396724811 is maintained by the National Plan & Provider Enumeration System. The contents of Providercare Plus Pc are for informational purposes only.