Family Life Psychological Services Pc in Stamford - Psychologist
Family Life Psychological Services Pc - NPI 1164594065
Family Life Psychological Services Pc is a Psychologist in Stamford, Connecticut. Family Life Psychological Services Pc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Family Life Psychological Services Pc is 1164594065. The last update date is 2020-08-22.
Family Life Psychological Services Pc's current location address is 106 Gun Club Road, Stamford, Connecticut. You can contact this provider via phone number 2039680469. The mailing address for Family Life Psychological Services Pc is 106 Gun Club Road, Stamford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Life Psychological Services Pc |
|---|---|
| Address | 106 Gun Club Road, Stamford, Connecticut |
| Phone Number | 2039680469 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cohen S Herbert |
| Credentials | EDD |
| Telephone Number | 2039680469 |
NPI Number Detail
| NPI Number | 1164594065 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 106 Gun Club Road |
|---|---|
| City | Stamford |
| State | Connecticut (CT) |
| Post Code | 69031024 |
| Phone Number | 2039680469 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 918 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 060000918CT01 | CT | ANTHEM BLUE CROSS BLUE SH |
Post Comment/ Review Below
What is the unique identification code assigned to Family Life Psychological Services Pc by the Centers for Medicare & Medicaid Services?
The Family Life Psychological Services Pc has been issued the NPI (National Provider Identifier) 1164594065. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Family Life Psychological Services Pc is located?
The Family Life Psychological Services Pc is situated at the following address: 106 Gun Club Road, Stamford, CT, 69031024.
What is Family Life Psychological Services Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Family Life Psychological Services Pc's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did Family Life Psychological Services Pc receive its 1164594065 assignment from the Centers for Medicare & Medicaid Services?
The Family Life Psychological Services Pc was assigned its 1164594065 on 2006-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Family Life Psychological Services Pc most recently updated or revised?
The information pertaining to Family Life Psychological Services Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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