Individual
DR. JOAN M CALVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D, LMFT
Contact information
Practice address
705 N MOUNTAIN RD, NEWINGTON, CT 06111-1412
(860) 953-0453
Mailing address
705 N MOUNTAIN RD STE A110, NEWINGTON, CT 06111-1412
(860) 916-9496
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001220
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001220
STATE LICENSE NUMBER
CT
Enumeration date
09/26/2007
Last updated
08/13/2010
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