Judith L Fabricant, LMFT | |
154 Hempstead St, New London, CT 06320-5638 | |
(860) 443-1111 | |
Not Available |
Full Name | Judith L Fabricant |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 154 Hempstead St, New London, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598862153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | CT 000425 (Connecticut) | Primary |
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Mailing Address | Practice Location Address |
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Judith L Fabricant, LMFT 21 Montauk Ave Ste G03, New London, CT 06320-4906 Ph: (860) 443-1111 | Judith L Fabricant, LMFT 154 Hempstead St, New London, CT 06320-5638 Ph: (860) 443-1111 |
Janice Waid, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-442-2797 Fax: 860-701-3776 | |
Marissa Fratoni, BA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-442-2797 Fax: 860-701-3776 | |
Tara Lynne Sousa, MFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-442-2797 Fax: 860-701-3776 | |
Dr. Merina Corby, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 125 Shaw St, New London, CT 06320 Phone: 860-912-7105 | |
Erica Diaz, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 255 Hempstead St, New London, CT 06320 Phone: 860-443-2896 | |
Mr. Reginald Harris, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 154 Hempstead St, New London, CT 06320 Phone: 860-444-8774 | |
Lori J Standish, M.A., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 190 Broad St, New London, CT 06320 Phone: 860-501-4048 |