National Provider Identifier Database

CROSSROADS BEHAVIORAL HEALTH LLC
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


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
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for CROSSROADS BEHAVIORAL HEALTH, LLC

NPI Number 1356567341
Legal business name
LBN
CROSSROADS BEHAVIORAL HEALTH, LLC
Authorized official SUSAN PETERMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/18/2007
Last updated 12/18/2019 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 1631

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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