Healthcare Provider Details

I. General information

NPI: 1376837583
Provider Name (Legal Business Name): BARBARA GRETEN PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2011
Last Update Date: 06/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ORCHARD ST SUITE 301
NEW HAVEN CT
06511-5363
US

IV. Provider business mailing address

85 BUTTERNUT DR
MERIDEN CT
06450-3509
US

V. Phone/Fax

Practice location:
  • Phone: 203-859-2111
  • Fax: 203-630-1177
Mailing address:
  • Phone: 203-859-2111
  • Fax: 203-630-1177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number007312
License Number StateCT

VIII. Authorized Official

Name: MS. BARBARA J. GRETEN
Title or Position: MENTAL HEALTH AND TRAUMA THERAPIST
Credential: M.DIV., MSW, LCSW
Phone: 203-859-2111