Active NPIIndividual providerSole proprietor

Dr. Patrick L Queenan, PHD

Psychologist, Clinical in Brookfield, Connecticut

NPI Number1437162823
Practice location
304 Federal RD, Suite 319, Brookfield, CT 06804-2418
Fax
—
Last updated
July 8, 2007

Patrick Lydon Queenan is a Psychologist, Clinical based in Brookfield, CT. Patrick Lydon Queenan practices in Brookfield, CT and has the professional credentials of PHD. The NPI Number for Patrick Lydon Queenan is 1437162823 and holds a License No. 002395 (CT). The current practice location address for Patrick Lydon Queenan is 304 Federal RD, Suite 319, Brookfield, CT 06804-2418 and can be reached out via phone at 203-775-4915.

Provider Profile Details

NPI Number
1437162823
Provider Name
Patrick Lydon Queenan
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
304 Federal RD, Suite 319, Brookfield, CT 06804-2418
Phone Number
203-775-4915
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 15, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
304 Federal RD
Suite 319
Brookfield, CT 06804-2418
Zip
06804-2418
Phone Number
203-775-4915
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
304 Federal RD
Suite 319
Brookfield, CT 06804-2418
City
Brookfield
State
CT
Zip
06804-2418
Phone Number
203-775-4915

License Information

License Number
002395
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Patrick L Queenan, PHD?

The NPI number of Dr. Patrick L Queenan, PHD is 1437162823. It was assigned on August 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Patrick L Queenan, PHD?

Dr. Patrick L Queenan, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 002395.

Where does Dr. Patrick L Queenan, PHD practice?

The practice location is 304 Federal RD, Suite 319, Brookfield, CT 06804-2418. The office can be reached at 203-775-4915 (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 1437162823 directly on the NPPES registry website.

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