Lifespan Collaborative Services LLC
NPI #1013395466 in Oxford, Connecticut
Provider Information
- NPI Number
- 1013395466
- Entity Type
- Organization
- Organization Name
- Lifespan Collaborative Services LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- May 18, 2015
- Last Updated
- May 18, 2015
Practice Location
- Address
- 71 OXFORD RD
- City
- Oxford
- State
- Connecticut
- ZIP Code
- 06478-1900
- Phone
- (203) 463-4558
Authorized Official
- Name
- DILICE ROBERTSON, DNP-APRN
- Title
- MEMBER
- Phone
- (203) 887-1278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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