Individual
MS. ELBA IRIS CRESPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1506 POST RD, FAIRFIELD, CT 06824-5916
(203) 685-6486
Mailing address
37 HIGH PARK AVE, STRATFORD, CT 06615-5642
(036) 856-4862
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002555
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002555CT01
ANTHEM BC
CT
01
—
330606
MHN
CT
Enumeration date
01/25/2007
Last updated
08/01/2024
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