CLINICAL BRIDGE
Organization (NPI-2)
Active
Clinical Neuropsychologist
Provider Information
- NPI Number
1235463845- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 209 MAIN ST, SOUTHINGTON, CT, 064892539
- Phone
- (203) 216-2036
Specialties & Taxonomies
Psychologist, Clinical Child & Adolescent
License: CT #001477
Clinical Neuropsychologist
Primary License: CT #001477