Whalio Doctors

NPI 1003688037

Optum Behavioral Care of Connecticut, P.C.

Organisation Counseling Psychologist Providence, RI

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
Behavioral Health & Social Service Providers Taxonomy 103TC1900X

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.