Provider Demographics
NPI:1093950032
Name:YALE PARENTING AND CHILD CONDUCT CLINIC
Entity Type:Organization
Organization Name:YALE PARENTING AND CHILD CONDUCT CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-432-9993
Mailing Address - Street 1:314 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-2187
Mailing Address - Country:US
Mailing Address - Phone:203-432-9993
Mailing Address - Fax:
Practice Address - Street 1:314 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-2187
Practice Address - Country:US
Practice Address - Phone:203-432-9993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YALE UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health