| NPI | 1790199784 |
|---|---|
| Doing Business As | CONNECTICUT NEUROPSYCHOLOGICAL ASSOCIATES, LLC |
| Entity Type | Organization |
| Authorized Contact | CALEB PECK Manager/Neuropsychologist 860-889-7274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003313) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 003313) |
| 103T00000X Psychologist (Licence: CT 003313) | |
| 103T00000X Psychologist (Licence: CT 003357) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CT 003313) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CT 003313) | |
| 103TC0700X Psychologist, Clinical (Licence: CT 003357) | |
| 103TC1900X Psychologist, Counseling (Licence: CT 003357) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 003313) | |
| 103TF0000X Psychologist, Family (Licence: CT 003357) | |
| 103TF0200X Psychologist, Forensic (Licence: CT 003313) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: CT 003357) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CT 003357) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CO 003313) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |