Individual
HEATHER M ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 CEDAR ST, NEW HAVEN, CT 06519-1610
(203) 503-3300
(203) 401-3352
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1839
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
09/28/2016
Last updated
09/28/2016
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