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NPI 1396694162

NPI 1396694162 : TERRA PSYCHOLOGICAL SERVICES LLC : SEYMOUR, CT

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General NPI Number Information
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    NPI Number           |    1396694162
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    Entity Type          |    Organization 
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    Legal Business Name  |    TERRA PSYCHOLOGICAL SERVICES LLC 
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Dates
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    Enumeration Date     |    01/26/2026
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    Last Update Date     |    01/26/2026
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Provider Practice Location Address
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    Address Line         |    12 ELEANOR RD 
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    City                 |    SEYMOUR
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    State                |    CT
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    Zip                  |    06483
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    Country              |    US
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    Telephone            |    203-244-7764
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1201 KINGS HWY STE 2 
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    City                 |    FAIRFIELD
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    State                |    CT
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    Zip                  |    06824-5319
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    Country              |    US
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    Telephone            |    203-244-7764
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. CATARINA F LALLY 
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    Credential           |    PSYD
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    Telephone            |    203-244-7764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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