Healthcare Provider Details
I. General information
NPI: 1073428298
Provider Name (Legal Business Name): HARBOR HEALTH ALLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1430 BOSTON POST RD
WESTBROOK CT
06498-1955
US
IV. Provider business mailing address
1430 BOSTON POST RD
WESTBROOK CT
06498-1955
US
V. Phone/Fax
- Phone: 860-373-7533
- Fax:
- Phone: 860-373-7533
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CALEB
PECK
Title or Position: DIRECTOR
Credential: PSY.D.
Phone: 860-373-7533