Peggy-sue Forster, Llc | |
2551 Post Rd Southport CT 06890-1217 | |
(203) 984-1126 | |
(860) 567-2195 |
Full Name | Peggy-sue Forster, Llc |
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Speciality | Marriage & Family Therapist |
Location | 2551 Post Rd, Southport, Connecticut |
Authorized Official Name and Position | Peggy-sue K. Forster (PRESIDENT) |
Authorized Official Contact | 2039841126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peggy-sue Forster, Llc 2537 Post Rd Southport CT 06890-1242 Ph: (203) 984-1126 | Peggy-sue Forster, Llc 2551 Post Rd Southport CT 06890-1217 Ph: (203) 984-1126 |
NPI Number | 1437410800 |
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Provider Enumeration Date | 06/01/2012 |
Last Update Date | 06/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437410800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 001441 (Connecticut) | Primary |
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