Individual
CAROL LYNN BERRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
79 PAYNE RD, BETHEL, CT 06801-1264
(203) 743-1150
(203) 743-1105
Mailing address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 743-1150
(203) 743-1105
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
001092
CT
106H00000X
Marriage & Family Therapist
Primary
SA-0215
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004257516
—
CT
01
—
301090
MHN
—
01
—
410001092CT01
ANTHEM BLUE CROSS BLUE SH
CT
Enumeration date
11/29/2006
Last updated
12/14/2011
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