Requa Psychotherapy Llc

NPI 1124366745 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1124366745
Enumeration Date 01/17/2013
Last Updated 01/17/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SARA S SARA
Position OWNER/THERAPIST
Phone (203) 803-0469
Fax
Practice Location
72 PARK ST
SUITE 103
NEW CANAAN CT, 06840-4532, US
Phone (203) 803-0469
Fax
Business Location
PO BOX 1007
SOUTHBURY CT, 06488-4107, US
Phone (203) 803-0469
Fax
Toxanomy
Taxonomy Code 106H00000X
License State Connecticut
License Number 001415
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According to our database, Requa Psychotherapy Llc NPI is 1124366745, taxonomy code is 106H00000X and license number is 001415, license state is located at Connecticut. Requa Psychotherapy Llc physically located at 72 Park St, New Canaan CT, 06840-4532. NPI Number 1033115704 has the healthcare provider type.

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1124366745 NPI number is provided on an as is basis without warranty of any kind. 1124366745 is maintained by the National Plan & Provider Enumeration System. The contents of Requa Psychotherapy Llc are for informational purposes only.