| Elaine Tavani, Ms, Lmft, Llc | |
|
41c New London Tpke Glastonbury CT 06033-4206 | |
| (860) 916-0204 | |
| Not Available |
| Full Name | Elaine Tavani, Ms, Lmft, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 41c New London Tpke, Glastonbury, Connecticut |
| Authorized Official Name and Position | Elaine Renee Tavani (SOLE MEMBER) |
| Authorized Official Contact | 8609160204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Tavani, Ms, Lmft, Llc 41c New London Tpke Glastonbury CT 06033-4206 Ph: (860) 916-0204 | Elaine Tavani, Ms, Lmft, Llc 41c New London Tpke Glastonbury CT 06033-4206 Ph: (860) 916-0204 |
| NPI Number | 1023409869 |
|---|---|
| Provider Enumeration Date | 02/16/2015 |
| Last Update Date | 02/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023409869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001521 (Connecticut) | Primary |
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