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Contact Information

WALTER VAN SAMBECK
244 S MAIN ST
COLCHESTER, CT06415-1405
 Phone: 860-537-3977
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WALTER VAN SAMBECK

NPI Number 1538342829
LBN Legal business name WALTER VAN SAMBECK
Authorized official WALTER VAN SAMBECK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/10/2007
Last updated 06/16/2008 - About 18 years ago
Identifiers
CT License # 000493
CT License # 023879
Other 1275632994 NPI
Other 1437218823 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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