Graduated: 2024
NPI: 1992501290
Practice Locations (2)
IMPACT HEALTH PSYCH PC
240 INDIAN RIVER RD, SUITE C7
ORANGE, CT 064773691
2034973867
PROSPECT CT MEDICAL FOUNDATION INC
64 ROBBINS ST
WATERBURY, CT 067082613
2035736263
Source: CMS National Downloadable File, September 2026.