Provider Demographics
NPI:1174900484
Name:CONNECTED PSYCHOLOGICAL SERVICES INC
Entity type:Organization
Organization Name:CONNECTED PSYCHOLOGICAL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROTTY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:571-276-3113
Mailing Address - Street 1:739 CHERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:HEATHSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22473-2648
Mailing Address - Country:US
Mailing Address - Phone:571-276-3113
Mailing Address - Fax:
Practice Address - Street 1:601 13TH ST NW STE 900
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3807
Practice Address - Country:US
Practice Address - Phone:571-276-3113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty