Individual
SAMUEL SCHAPEROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
567 VAUXHALL STREET EXT, SUITE 207, WATERFORD, CT 06385-4330
(860) 447-2047
Mailing address
567 VAUXHALL STREET EXT, SUITE 207, WATERFORD, CT 06385-4330
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001110
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349434
MHN - HEALTHNET
—
01
—
410001110CT01
ANTHEM BLUE CROSS
CT
Enumeration date
01/13/2008
Last updated
01/13/2008
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