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Contact Information

CROSSROADS BEHAVIORAL HEALTH, LLC
10 N. MAIN ST
SUITE 204
WEST HARTFORD, CT06107
 Phone: 860-233-8111
 Fax: 860-236-2016
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CROSSROADS BEHAVIORAL HEALTH LLC · (Female)

NPI # 1356567341
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2007
Last updated 12/18/2019 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 1631
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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