Dr Sursatie Devi Chetram, PHD, LPC | |
100 Talcott Ave, Vernon, CT 06066-3142 | |
(203) 500-6152 | |
(860) 736-2222 |
Full Name | Dr Sursatie Devi Chetram |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 100 Talcott Ave, Vernon, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235639444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 46.003262 (Connecticut) | Primary |
Entity Name | Women Family Health & Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386314888 PECOS PAC ID: 6709225998 Enrollment ID: O20240422000438 |
Mailing Address | Practice Location Address |
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Dr Sursatie Devi Chetram, PHD, LPC Po Box 211, North Haven, CT 06473-0211 Ph: (203) 500-6152 | Dr Sursatie Devi Chetram, PHD, LPC 100 Talcott Ave, Vernon, CT 06066-3142 Ph: (203) 500-6152 |
Dennis Tomczak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Regan Rd Apt 33a, Vernon, CT 06066 Phone: 860-916-1816 | |
Mrs. Theresa Ouellette, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 27 Naek Rd Ste 4, Vernon, CT 06066 Phone: 860-982-9825 Fax: 860-870-9384 | |
Ms. Gwendolyn Elaine Hayes, LCSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 35 Talcottville Rd Ste 10, Vernon, CT 06066 Phone: 860-558-2554 | |
Mrs. Marissa Brook Cormier, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Naek Rd Ste 4, Vernon, CT 06066 Phone: 860-872-9825 Fax: 860-870-9384 | |
Nikki Gilgosky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Naek Rd Ste 4, Vernon, CT 06066 Phone: 860-872-9835 | |
Brianna Gurn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 W Main St, Apt 309, Vernon, CT 06066 Phone: 860-617-0247 | |
Ms. Nancy Taylor Dunn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 933 Hartford Tpke, Vernon, CT 06066 Phone: 860-872-7696 Fax: 860-871-0252 |