Daniel Griswold Gordon, LMFT | |
60 Waterbury Rd, Heritage Professional Suite 2a, Prospect, CT 06712-1250 | |
(203) 560-1158 | |
(203) 757-8914 |
Full Name | Daniel Griswold Gordon |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 60 Waterbury Rd, Prospect, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447364955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 001060 (Connecticut) | Primary |
Entity Name | The Charlotte Hungerford Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629075734 PECOS PAC ID: 4486557501 Enrollment ID: O20040128000183 |
Mailing Address | Practice Location Address |
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Daniel Griswold Gordon, LMFT 45 Deerwood Ln # U3, Waterbury, CT 06704-6114 Ph: (203) 754-2079 | Daniel Griswold Gordon, LMFT 60 Waterbury Rd, Heritage Professional Suite 2a, Prospect, CT 06712-1250 Ph: (203) 560-1158 |
Ms. Laurene M. Gomez, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3 Skyline Dr, Prospect, CT 06712 Phone: 203-725-6776 Fax: 203-725-6776 | |
Mr. Jason R. Sevas, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 60 Waterbury Rd, Suite 2a, Prospect, CT 06712 Phone: 203-758-4958 Fax: 203-758-4957 | |
Laura Galindo, Couples Therapy Medicare: Medicare Enrolled Practice Location: 7 Peach Orchard Rd, Prospect, CT 06712 Phone: 203-693-1883 | |
Ms. Mary Ann Reagan, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4 Summit Rd, Prospect, CT 06712 Phone: 203-596-9145 Fax: 203-596-9145 | |
Lou-ann Yearwood, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15 Catherine Dr, Prospect, CT 06712 Phone: 203-340-0127 | |
Christy Ann George, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 123 Union City Rd, Prospect, CT 06712 Phone: 203-414-1568 |