Integrated Wellness Group, Llc in New Haven - Clinical Child & Adolescent
Integrated Wellness Group, Llc - NPI 1003096744
Integrated Wellness Group, Llc is a Clinical Child & Adolescent in New Haven, Connecticut. Integrated Wellness Group, Llc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Integrated Wellness Group, Llc is 1003096744. The last update date is 2010-09-09.
Integrated Wellness Group, Llc's current location address is 446a Blake St, New Haven, Connecticut. You can contact this provider via phone number 2033879400 and fax number 8887722160. The mailing address for Integrated Wellness Group, Llc is 446a Blake St, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Integrated Wellness Group, Llc |
|---|---|
| Address | 446a Blake St, New Haven, Connecticut |
| Phone Number | 2033879400 |
| Fax Number | 8887722160 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Akbar Maysa |
| Credentials | PH.D. |
| Telephone Number | 2033879400 |
NPI Number Detail
| NPI Number | 1003096744 |
|---|---|
| Provider Enumeration Date | 2007-11-09 |
| Last Updated Date | 2010-09-09 |
Provider Mailing Address Detail
| Address | 446a Blake St |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65151286 |
| Phone Number | 2033879400 |
| Fax Number | 8887722160 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2659 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identification code assigned to Integrated Wellness Group, Llc by the Centers for Medicare & Medicaid Services?
The Integrated Wellness Group, Llc has been issued the NPI (National Provider Identifier) 1003096744, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Integrated Wellness Group, Llc?
The Integrated Wellness Group, Llc is situated at 446A Blake St, in the city of New Haven, state of CT, with the zip code 65151286.
What is the Integrated Wellness Group, Llc's area of specialization and corresponding taxonomy classification?
The Integrated Wellness Group, Llc's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
When was the Integrated Wellness Group, Llc's 1003096744 issued?
The Integrated Wellness Group, Llc's 1003096744 was issued on 2007-11-09.
When was the Integrated Wellness Group, Llc's information last updated?
The Integrated Wellness Group, Llc's information was last updated on 2010-09-09.
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