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Contact Information

CONNECTICUT MIND INSTITUTE LLC
2701 TAMARACK AVE
SOUTH WINDSOR, CT06074-5561
 Phone: 860-337-7818
 Fax: 860-337-7820
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for CONNECTICUT MIND INSTITUTE LLC · (Female)

NPI # 1619324613
Status Active
Credentials
Entity Individual
Enumeration date 05/19/2016
Last updated 05/20/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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