Daniel Salvatore LLC

Organization Active NPI Marriage & Family Therapist · Mystic, CT

NPI 1265042956 · NPPES record last updated Apr 8, 2025

Key facts

NPI
1265042956
Entity type
Organization (NPI type 2)
Primary specialty
Marriage & Family Therapist 106H00000X
Legal business name
DANIEL SALVATORE LLC
Practice address
12 Roosevelt Ave # 36
Mystic, CT 06355-2809
Phone
(860) 912-0672
NPI assigned
Aug 6, 2020
Organization subpart
No

Authorized official

Name
Sue Roach
Title
Billing Administrator
Phone
(860) 368-7092

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

100 Essex St
Unit 2B
Mystic, CT 06355

12 Roosevelt Ave
#36
Mystic, CT 06355
Phone (860) 912-0672

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X Yes

Addresses

Primary practice location

12 Roosevelt Ave # 36
Mystic, CT 06355-2809

Mailing address

12 Roosevelt Ave # 36
Mystic, CT 06355-2809
Phone (860) 912-0672

Other providers in Mystic, CT

All providers in Mystic, CT · Marriage & Family Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.