Provider Demographics
NPI:1841535754
Name:TOP OF YOUR GAME, LLC
Entity type:Organization
Organization Name:TOP OF YOUR GAME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LISE
Authorized Official - Last Name:SWITZER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:860-670-2041
Mailing Address - Street 1:628 HEBRON AVENUE
Mailing Address - Street 2:BUILDING 2, SUITE 206
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033
Mailing Address - Country:US
Mailing Address - Phone:860-430-9099
Mailing Address - Fax:860-430-1713
Practice Address - Street 1:628 HEBRON AVENUE
Practice Address - Street 2:BUILDING 2, SUITE 206
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033
Practice Address - Country:US
Practice Address - Phone:860-430-9099
Practice Address - Fax:860-430-1713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001351251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health