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Contact Information

EASTER SEALS CAPITAL REGION & EASTERN CONNECTICUT, INC.
100 DEERFIELD RD
WINDSOR, CT06095-4252
 Phone: 860-270-0600
 Fax: 860-748-4432
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for EASTER SEALS CAPITAL REGION EASTERN CONNECTICUT INC · (Female)

NPI # 1639177926
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2005
Last updated 03/26/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers
  • CT Medicaid 004039632
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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