NPI 1306688593
Teal Dragon Healing, LLC
Practice location
- Address
- 1177 High Ridge Rd STE 119, Stamford, CT 06905-1221
- Phone
- (831) 272-2676
Authorised official
- Name
- Adena Blickstein
- Title
- Ceo
- Phone
- (917) 613-0886
Registered specialties (2)
Child & Adolescent Psychiatry Physician
Primary
Community Health Clinic/Center
Registry record
- NPI
- 1306688593
- Entity type
- Organization
- NPI issued
- 10 Jun 2024
- Record last updated
- 10 Jun 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.