Organization
GROUND SHAKING FAMILY THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN ELIZABETH HUMPHREY LMFT (LMFT/OWNER)
(203) 823-7093
Entity
Organization
Contact information
Practice address
6 EGYPT LN, CLINTON, CT 06413-2513
(203) 823-7093
Mailing address
6 EGYPT LN, CLINTON, CT 06413-2513
(203) 823-7093
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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