| Ground Shaking Family Therapy, Pllc | |
|
6 Egypt Ln Clinton CT 06413-2513 | |
| (203) 823-7093 | |
| Not Available |
| Full Name | Ground Shaking Family Therapy, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6 Egypt Ln, Clinton, Connecticut |
| Authorized Official Name and Position | Megan Elizabeth Humphrey (LMFT/OWNER) |
| Authorized Official Contact | 2038237093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ground Shaking Family Therapy, Pllc 6 Egypt Ln Clinton CT 06413-2513 Ph: (203) 823-7093 | Ground Shaking Family Therapy, Pllc 6 Egypt Ln Clinton CT 06413-2513 Ph: (203) 823-7093 |
| NPI Number | 1093539058 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093539058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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