Connecticut Geriatric Psychological Services, PC
NPI #1124340203 in Port Chester, New York
Provider Information
- NPI Number
- 1124340203
- Entity Type
- Organization
- Organization Name
- Connecticut Geriatric Psychological Services, PC
- Primary Specialty
- Psychologist - Adult Development & Aging
- Enumeration Date
- Feb 17, 2010
- Last Updated
- Oct 27, 2011
Practice Location
- Address
- 112 BETSY BROWN RD
- City
- Port Chester
- State
- New York
- ZIP Code
- 10573-2231
- Phone
- (914) 937-6174
Authorized Official
- Name
- DR. TIMOTHY W. WELLES, ED.D.
- Title
- PRESIDENT
- Phone
- (914) 937-6174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Adult Development & Aging — Adult Development & Aging |
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