Jyothi Vayalakkara in South Windsor - Clinical Neuropsychologist

Jyothi Vayalakkara - NPI 1558449660

Jyothi Vayalakkara is a Clinical Neuropsychologist in South Windsor, Connecticut. Jyothi Vayalakkara practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jyothi Vayalakkara is 1558449660. The last update date is 2007-07-09.

Jyothi Vayalakkara's current location address is 152 Deming St, South Windsor, Connecticut. You can contact this provider via phone number 8606444472 and fax number 8606443001. The mailing address for Jyothi Vayalakkara is 152 Deming St, South Windsor, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Jyothi Vayalakkara
Address 152 Deming St, South Windsor, Connecticut
Phone Number 8606444472
Fax Number 8606443001
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1558449660
Provider Enumeration Date 2006-11-02
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 152 Deming St
City South Windsor
State Connecticut (CT)
Post Code 60743740
Phone Number 8606444472
Fax Number 8606443001

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 2590
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
060002590CT01 CT ANTHEM BCBS

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FAQs about Jyothi Vayalakkara

What is the Jyothi Vayalakkara's 1558449660?

The Jyothi Vayalakkara's NPI (National Provider Identifier) Number is 1558449660. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jyothi Vayalakkara is located?

The Jyothi Vayalakkara is situated at the following address: 152 Deming St, South Windsor, CT, 60743740.

What is the area of specialization for Jyothi Vayalakkara, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jyothi Vayalakkara is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103G00000X.

When did the Jyothi Vayalakkara receive its 1558449660?

The Jyothi Vayalakkara was issued its 1558449660 on 2006-11-02, which is the date when the organization was assigned this unique identifier.

When was the Jyothi Vayalakkara's information last updated?

The Jyothi Vayalakkara's information was last updated on 2007-07-09.

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