Elizabeth Leah Bunovsky, M.A., L.M.F.T.
Individual provider Active NPI Marriage & Family Therapist · Woodbury, CT
NPI 1003042227 · NPPES record last updated Mar 30, 2017
Key facts
- NPI
- 1003042227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 000794 (CT)
- Practice address
- 51 Weekeepeemee Rd
Woodbury, CT 06798-2002 - Phone
- (203) 263-7798
- NPI assigned
- Jun 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000794 | CT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000794 | CT | Yes |
Addresses
Primary practice location
51 Weekeepeemee Rd
Woodbury, CT 06798-2002
Mailing address
51 Weekeepeemee Rd
Woodbury, CT 06798-2002
Phone (203) 266-8063
Other providers in Woodbury, CT
- Karen Blomquist
- Christine Boampong
- Bourgeois LLC
- William Christopher Brown
- Jose Buhain
- Kenneth L Burke
- Bwell LLC
- C Young Consulting LLC
- Shirley Jane Campbell
- Olivia Carty
All providers in Woodbury, CT · Marriage & Family Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.