Healthcare Provider Details

I. General information

NPI: 1497901631
Provider Name (Legal Business Name): PATHWAYS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 08/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

674 PROSPECT AVE.
HARTFORD CT
06105
US

IV. Provider business mailing address

674 PROSPECT AVE.
HARTFORD CT
06105
US

V. Phone/Fax

Practice location:
  • Phone: 860-233-6228
  • Fax: 860-233-2371
Mailing address:
  • Phone: 860-233-6228
  • Fax: 860-233-2371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number000338
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number000966
License Number StateCT

VIII. Authorized Official

Name: DR. ALLAN L. SCHIFFER
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 860-233-6228