Nancy V. Sadock, L.M.F.T

Individual provider Active NPI Marriage & Family Therapist · Riverside, CT

NPI 1396983391 · NPPES record last updated Jan 28, 2009

Key facts

NPI
1396983391
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
001292 (CT)
Practice address
14 Pilot Rock LN
Riverside, CT 06878-2621
Phone
(203) 698-2262
Fax
(203) 698-2338
NPI assigned
Jan 28, 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

State licenses

LicenseStateTypeSpecialty
001292CTMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001292 CT Yes

Addresses

Primary practice location

14 Pilot Rock LN
Riverside, CT 06878-2621

Mailing address

14 Pilot Rock LN
Riverside, CT 06878-2621
Phone (203) 698-2262

Other providers in Riverside, CT

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

Sources for this page

Verify at the official NPI Registry.