Individual
BEVERLY SHOENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
221 KIMBERLEY RD, NEWINGTON, CT 06111-1626
(860) 665-0398
Mailing address
221 KIMBERLEY RD, NEWINGTON, CT 06111-1626
(860) 667-8324
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000598
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000598CT01
ANTHEM BCBS
CT
Enumeration date
02/04/2007
Last updated
07/08/2007
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