Trina Wong, LMFT | |
125 Penfield Rd, Fairfield, CT 06824-6611 | |
(203) 255-5777 | |
(203) 368-9167 |
Full Name | Trina Wong |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 125 Penfield Rd, Fairfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164936951 | NPI | - | NPPES |
004069985 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 001955 (Connecticut) | Primary |
Entity Name | Trina Wong, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306331046 PECOS PAC ID: 6901244888 Enrollment ID: O20240411000798 |
Mailing Address | Practice Location Address |
---|---|
Trina Wong, LMFT 475 Clinton Ave, Bridgeport, CT 06605-1700 Ph: (203) 368-4291 | Trina Wong, LMFT 125 Penfield Rd, Fairfield, CT 06824-6611 Ph: (203) 255-5777 |
Melissa Sestito, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 125 Penfield Rd, Fairfield, CT 06824 Phone: 203-255-5777 Fax: 203-259-9673 | |
Mr. John D. Berube, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 61 Buena Vista Rd, Fairfield, CT 06825 Phone: 203-374-9077 | |
Lisa R Shoglow, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 125 Penfield Rd, Fairfield, CT 06824 Phone: 203-255-5777 Fax: 203-368-9167 | |
Gianfranco Beaumont, MA, MFT 3314 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1345 Fence Row Dr # 1345, Fairfield, CT 06824 Phone: 203-873-7058 | |
Ms. Sara Friedman, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 227 Windermere St, Fairfield, CT 06825 Phone: 203-610-0998 | |
Meredith A Hettler, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 55 Walls Dr Ste 206, Fairfield, CT 06824 Phone: 732-610-8584 | |
Betsy Suzanne Auray, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 467 Redding Rd, Fairfield, CT 06824 Phone: 203-394-3827 |