| Shoreline Center For Family Counseling & Psychotherapy, Llc | |
|
9 Business Park Dr Branford CT 06405-2931 | |
| (203) 433-0299 | |
| (203) 643-2042 |
| Full Name | Shoreline Center For Family Counseling & Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9 Business Park Dr, Branford, Connecticut |
| Authorized Official Name and Position | David Ewing (OWNER) |
| Authorized Official Contact | 2034330299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Center For Family Counseling & Psychotherapy, Llc 9 Business Park Dr Branford CT 06405-2931 Ph: (203) 433-0299 | Shoreline Center For Family Counseling & Psychotherapy, Llc 9 Business Park Dr Branford CT 06405-2931 Ph: (203) 433-0299 |
| NPI Number | 1225354988 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225354988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006202 (Connecticut) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 005763 (Connecticut) | Secondary |
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