Individual
MR. SCOTT I GOLDSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
200 MAIN ST, MANCHESTER, CT 06042-3581
(860) 646-9668
(860) 643-4074
Mailing address
21 MARLBORO GLADE, TOLLAND, CT 06084-3554
(860) 875-1418
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000820
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000820CT02
BLUE CROSS
CT
01
—
281894
MENTAL HEALTH NETWORK
CT
Enumeration date
10/12/2006
Last updated
07/08/2007
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