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Walter Van Sambeck
Prescribing (Medical) Psychologist in Colchester, Connecticut
NPI 1538342829

Walter Van Sambeck is a Prescribing (Medical) Psychologist based in Colchester, CT and is specialized in Prescribing (Medical). Walter Van Sambeck practices in Colchester, CT. The NPI Number for Walter Van Sambeck is 1538342829 and holds a License No. 000493 (Connecticut).

The current practice location address for Walter Van Sambeck is 244 S Main St, Colchester, CT and can be reached out via phone at 860-537-3977.

Location: 244 S Main St, Colchester, CT, 06415-1405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538342829
Provider Name
Walter Van Sambeck
Credential
Provider Entity Type
Organization
Address
244 S Main St, Colchester, CT, 06415-1405
Phone Number
860-537-3977
Fax Number
Provider Enumeration Date
12/10/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437218823 01 NPI
1275632994 01 NPI
institution
Provider Business Practice Location Address Details
Address
244 S Main St
City
Colchester
State
Connecticut
Zip
06415-1405
Phone Number
860-537-3977
Fax Number
person
Provider Business Mailing Address Details
Address
244 S Main St
City
Colchester
State
Connecticut
Zip
06415-1405
Phone Number
860-537-3977
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
023879 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
000493 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
000493 (Connecticut)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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