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SACRED INTELLIGENCE NPI 1881977817


NPI Information

NPI: 1881977817
Provider Name: SACRED INTELLIGENCE
Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
400 BAYONET ST
SUITE 304
NEW LONDON, CT
ZIP 06320
Phone: (860) 443-7505
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SACRED INTELLIGENCE is a cognitive and behavioral psychologist in New London, CT. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. SACRED INTELLIGENCE NPI is 1881977817. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 BAYONET ST
SUITE 304
NEW LONDON, CT
ZIP 06320-600
Phone: (860) 443-7505

The provider's authorized official is Terrlyn L Curry Avery .
The authorized official title is Licensed Psychologist and has the following contact phone number (860) 443-7505.

The enumeration date for this NPI number is 9/26/2011 and was last updated on 9/26/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & Behavioral002364CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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