Healthcare Provider Details

I. General information

NPI: 1518142058
Provider Name (Legal Business Name): SPECTRUM PSYCHIATRIC GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2008
Last Update Date: 01/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 WASHINGTON AVE 304
HAMDEN CT
06518-3271
US

IV. Provider business mailing address

60 WASHINGTON AVE 304
HAMDEN CT
06518-3271
US

V. Phone/Fax

Practice location:
  • Phone: 203-281-2890
  • Fax: 203-281-2896
Mailing address:
  • Phone: 203-281-2890
  • Fax: 203-281-2896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE M LINTON
Title or Position: PARTNER
Credential: LCSW
Phone: 203-281-2890