Professional Resource Group PC
NPI #1710019963 in Mansfield Center, Connecticut
Provider Information
- NPI Number
- 1710019963
- Entity Type
- Organization
- Organization Name
- Professional Resource Group PC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Mar 12, 2007
- Last Updated
- May 1, 2014
Practice Location
- Address
- 207 STORRS RD # 174
- City
- Mansfield Center
- State
- Connecticut
- ZIP Code
- 06250-1638
- Phone
- (860) 456-4604
Authorized Official
- Name
- GARY P KANABAY, PSYD
- Title
- DIRECTOR PRESIDENT
- Phone
- (860) 456-4604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Marriage & Family Therapist |
| Psychologist - Clinical — Clinical |
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