| Daniel Salvatore Llc | |
|
100 Essex St Unit 2b Mystic CT 06355-3315 | |
| (860) 912-0672 | |
| Not Available |
| Full Name | Daniel Salvatore Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 100 Essex St Unit 2b, Mystic, Connecticut |
| Authorized Official Name and Position | Sue Roach (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 8603687092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Salvatore Llc 100 Essex St Unit 2b Mystic CT 06355-3315 Ph: (860) 912-0672 | Daniel Salvatore Llc 100 Essex St Unit 2b Mystic CT 06355-3315 Ph: (860) 912-0672 |
| NPI Number | 1265042956 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265042956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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