Pediatric Psychology of Connecticut, LLC
NPI #1679839229 in New Haven, Connecticut
Provider Information
- NPI Number
- 1679839229
- Entity Type
- Organization
- Organization Name
- Pediatric Psychology of Connecticut, LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Apr 9, 2012
- Last Updated
- Apr 9, 2012
Practice Location
- Address
- 413 ORANGE ST
- Address 2
- SUITE 1
- City
- New Haven
- State
- Connecticut
- ZIP Code
- 06511-6424
- Phone
- (888) 342-6002
Authorized Official
- Name
- DR. MARK VINCENT GRUDBERG, PH.D.
- Title
- MEMBER
- Phone
- (888) 342-6002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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