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SHORELINE PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC

Clinical Neuropsychologist

Old Saybrook, Connecticut

Provider NPI: 1992999767

Organization Information:
Organization Name:  SHORELINE PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC
Organization is not Subpart
Authorized Official:  SHELLEY FRAZIER PELLETIER  PEDIATRIC NEUROPSYCHOLOGY  860-3882000

Practice Location:
954 MIDDLESEX TPKE STE A2 OLD SAYBROOK, CT 06475 US
Tel: 860-388-2000  Fax: 860-388-2000

Business Mailing Address:
PO BOX 303  OLD SAYBROOK, CT 06475 US
Tel: 860-388-2000  Fax: 860-388-2000

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CT2736









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