Ellen Coloccia, Psy D LLC
Psychologist, Clinical in Granby, Connecticut
1003238072- Practice location
- 84 Canal RD, Granby, CT 06035-2220
- Phone
- 860-904-3089
- Fax
- —
- Last updated
- November 16, 2022
Ellen Coloccia, Psy D LLC is a healthcare organization based in Granby, CT. Ellen Coloccia, Psy D LLC practices in Granby, CT. The NPI Number for Ellen Coloccia, Psy D LLC is 1003238072 and holds a License No. 2853 (CT). The current practice location address for Ellen Coloccia, Psy D LLC is 84 Canal RD, Granby, CT 06035-2220 and can be reached out via phone at 860-904-3089.
Provider Profile Details
- NPI Number
- 1003238072
- Provider Name
- Ellen Coloccia, Psy D LLC
- Provider Entity Type
- Organization
- Address
- 84 Canal RD, Granby, CT 06035-2220
- Phone Number
- 860-904-3089
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Ellen G Coloccia, PSY D · Owner · 860-633-2810
- Provider Enumeration Date
- January 10, 2014
- Last Update Date
- November 16, 2022
- Certification Date
- November 16, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 84 Canal RD
Granby, CT 06035-2220 - City
- Granby
- State
- Connecticut
- Zip
- 06035-2220
- Phone Number
- 860-904-3089
Provider Business Mailing Address Details
- Address
- 84 Canal RD
Granby, CT 06035-2220 - City
- Granby
- State
- CT
- Zip
- 06035-2220
- Phone Number
- 860-904-3089
License Information
- License Number
- 2853
- License State
- CT
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Granby, CT
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Frequently Asked Questions
What is the NPI number of Ellen Coloccia, Psy D LLC?
The NPI number of Ellen Coloccia, Psy D LLC is 1003238072. It was assigned on January 10, 2014 and is currently active in the NPPES registry.
What is the specialty of Ellen Coloccia, Psy D LLC?
Ellen Coloccia, Psy D LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 2853.
Where does Ellen Coloccia, Psy D LLC practice?
The practice location is 84 Canal RD, Granby, CT 06035-2220. The office can be reached at 860-904-3089 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003238072 directly on the NPPES registry website.