Healthcare Provider Details

I. General information

NPI: 1164054698
Provider Name (Legal Business Name): CORDIER INSTITUTE PLLC AMERICAN CBT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2020
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 AUSTIN DR
TOLLAND CT
06084-2423
US

IV. Provider business mailing address

14 AUSTIN DR
TOLLAND CT
06084-2423
US

V. Phone/Fax

Practice location:
  • Phone: 860-558-4694
  • Fax: 860-430-9754
Mailing address:
  • Phone: 860-558-4694
  • Fax: 860-430-9754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS ANDREW CORDIER SR.
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD, MALPC
Phone: 860-558-4694