Provider Demographics
NPI:1982747812
Name:ARBORSTONE PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:ARBORSTONE PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIPHART
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:203-929-4774
Mailing Address - Street 1:1077 BRIDGEPORT AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-4622
Mailing Address - Country:US
Mailing Address - Phone:203-929-4774
Mailing Address - Fax:203-929-4778
Practice Address - Street 1:1077 BRIDGEPORT AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-4622
Practice Address - Country:US
Practice Address - Phone:203-929-4774
Practice Address - Fax:203-929-4778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002605103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty