Lisa Shoglow, LLC
Organization Active NPI Marriage & Family Therapist · Weston, CT
NPI 1366908550 · NPPES record last updated Feb 13, 2019
Key facts
- NPI
- 1366908550
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- LISA SHOGLOW, LLC
- Practice address
- 64 Old Hyde Rd
Weston, CT 06883-1726 - Phone
- (203) 810-8348
- NPI assigned
- Feb 13, 2019
- Organization subpart
- No
Authorized official
- Name
- Grace Cullen
- Title
- Medical Billing Manager
- Phone
- (203) 368-5515
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
64 Old Hyde Rd
Weston, CT 06883-1726
Mailing address
64 Old Hyde Rd
Weston, CT 06883-1726
Phone (203) 810-8348
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004069985 | Medicaid | CT |
Other providers in Weston, CT
- Susan Lachs
- Langs Pharmacy of Weston LLC
- Barbara Lavi
- Nancy E. Legow
- Barbara Levi-Berliner
- Allison Lisbon
- Melaina C. Marion
- Steven McFarland
- Michelle Ann Mecca
- Graham Milnor
All providers in Weston, 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 Feb 13, 2019. 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.