Stable Grounds LLC

NPI #1356749667 in Woodbridge, Connecticut

Provider Information

NPI Number: 1356749667
Entity Type: Organization
Organization Name: Stable Grounds LLC
Primary Specialty: Psychologist
Enumeration Date: Dec 18, 2014
Last Updated: Dec 18, 2014

Practice Location

Address: 21 HAZEL TER
Address 2: SUITE B
City: Woodbridge
State: Connecticut
ZIP Code: 06525-2209
Phone: (203) 747-8734

Authorized Official

Name: DR. REBECCA A COHEN, PSYD
Title: PSYCHOLOGIST/ OWNER
Phone: (203) 747-8734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist	103T00000X	Primary

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