Evolve Brain Health LLC
NPI #1740916105 in Stamford, Connecticut
Provider Information
- NPI Number
- 1740916105
- Entity Type
- Organization
- Organization Name
- Evolve Brain Health LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jul 28, 2022
- Last Updated
- Sep 30, 2024
Practice Location
- Address
- 1055 SUMMER ST
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06905-5527
- Phone
- (203) 504-9758
Authorized Official
- Name
- DR. THOMAS JOSEPH KNIGHTLY JR., MD
- Title
- OWNER
- Phone
- (978) 857-1424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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