NPI 1003688037
Optum Behavioral Care of Connecticut, P.C.
Practice location
- Address
- 245 Waterman St STE 200, Providence, RI 02906-5215
- Phone
- (401) 369-8192
- Mailing address
- 67 Burnside Ave, East Hartford, CT 06108-3408
Authorised official
- Name
- Amanda Bronson
- Title
- Ceo
- Phone
- (978) 222-3121
Registered specialties
Counseling Psychologist
Primary
Registry record
- NPI
- 1003688037
- Entity type
- Organization
- NPI issued
- 24 Oct 2023
- Record last updated
- 5 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.