Organization
KATHRYN MCNEISH LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE CULLEN (MEDICAL BILLING MANAGER)
(203) 368-5515
Entity
Organization
Contact information
Practice address
140 LAKE RIDGE RD, SOUTHBURY, CT 06488-4161
(203) 900-7137
Mailing address
140 LAKE RIDGE RD, SOUTHBURY, CT 06488-4161
(203) 900-7137
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004069985
—
CT
Enumeration date
03/11/2019
Last updated
03/11/2019
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