SPECTRUM BEHAVIORAL PC
Psychiatric at Buxton Farm Rd, Stamford, CT

License number
Connecticut 3117
Category
Social Work
Type
Counseling
License number
Connecticut 043723
Category
Psychiatric
Type
Child & Adolescent Psychiatry
Owner
Name: DR. SUNIL SAXENA MD
Title: MEDICAL DIRECTOR
Phone: (203) 612-7511
Address
Address
30 Buxton Farm Rd, Stamford, CT 06905
National Provider ID: 1457636383
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SPECTRUM BEHAVIORAL PC

Stamford, CT  -  Chappaqua, NY

Industry:
Nonclassifiable Establishments, Specialty Outpatient Clinic, Specialty Outpatient Clinics, Nec
Registration:
Mar 18, 2009
Addresses:
30 Buxton Farm Rd, Stamford, CT 06905 (Physical)
77 Random Farms Cir, Chappaqua, NY 10514 (Mailing)
State ID:
0965297
Business type:
Stock
Child Psychologys:
Sunil Saxena (DIRECTOR, Child Psychology, Medical Director, Principal), 30 Buxton Farm Rd, Stamford, CT 06905 (Mailing)
68 Pheasant Run, Millwood, NY 10546 (Physical),Preethi Adyanthaya (HOLDER), 30 Buxton Farm Rd, Stamford, CT 06905 (Mailing)
68 Pheasant Run, Millwood, NY 10546 (Physical),Maminesh Patel (Child Psychology)
Agent:
David Richman,10 New King St, West Harrison, NY 10604 (Mailing)
61 High Rock Rd, Stamford, CT 06903 (Physical)

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