Individual
ELISABETH TULLIS SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5 BROOK ST, SUITE 1A, DARIEN, CT 06820-4549
(203) 921-6559
Mailing address
171 BIRCH RD, FAIRFIELD, CT 06824-6722
(203) 921-6559
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
001230
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004172920
—
CT
Enumeration date
10/10/2006
Last updated
02/22/2016
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