Birch Psychology LLC
Organization Active NPI Clinical Psychologist · Woodbury, CT
NPI 1003357914 · NPPES record last updated Mar 10, 2017
Key facts
- NPI
- 1003357914
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 003614 (CT)
- Legal business name
- BIRCH PSYCHOLOGY LLC
- Practice address
- 175 Main St S
Woodbury, CT 06798-3448 - Phone
- (203) 456-0339
- NPI assigned
- Mar 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Stephanie Lynam, PSY.D
- Title
- Psychologist/Owner
- Phone
- (203) 456-0339
National Provider Directory
Locations
175 Main St S
Woodbury, CT 06798
Phone (203) 263-3391
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 003614 | CT | Yes |
Addresses
Primary practice location
175 Main St S
Woodbury, CT 06798-3448
Mailing address
6 Fairview Dr Apt 1
Danbury, CT 06810-7665
Phone (203) 456-0339
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.