IndividualActive
Michael Widroff
NPI 1528433877 · Cognitive & Behavioral Psychologist · Groton, CT
Provider details
- NPI number
- 1528433877
- Entity type
- Individual
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
Student, Health Care
Practice location
1 Wahoo Ave
Groton, CT 06349-2324
Phone: (860) 694-4966
Approximate (ZIP-level) locationGet directions
Mailing address
920 E 17th St
Brooklyn, NY 11230-3751
Registry dates
- Enumerated
- 2015-12-10
- Last updated
- 2018-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.