Provider Demographics
NPI:1679227987
Name:C&B PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:C&B PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:CELANO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:203-903-1312
Mailing Address - Street 1:21 SHERMAN CT
Mailing Address - Street 2:FL 2
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5825
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21 SHERMAN CT
Practice Address - Street 2:FL 2
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5825
Practice Address - Country:US
Practice Address - Phone:203-903-1312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-06
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty