Douglas Scott Eads, LMFT
Individual provider Active NPI Marriage & Family Therapist · Old Lyme, CT
NPI 1780844852 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1780844852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC45843 (CA)
- Practice address
- 12 Halls Rd Unit 30
Old Lyme, CT 06371-7006 - Phone
- (323) 304-0489
- NPI assigned
- Jun 12, 2008
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC45843 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC45843 | CA | Yes |
Addresses
Primary practice location
12 Halls Rd Unit 30
Old Lyme, CT 06371-7006
Mailing address
12 Halls Rd Unit 30
Old Lyme, CT 06371-7006
Phone (323) 304-0489
Other providers in Old Lyme, CT
- Michael Anthony D'Occhio
- Robert Dean
- Michelle Kathryn Deyorio
- Terrence A Doherty
- Karen G Donovan
- Kathryn Ann Fallon
- Deborah Feigenbaum
- Cristan Filippi
- Brett J.M. Flynn
- Karl R. Friedmann
All providers in Old Lyme, 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 Nov 20, 2024. 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.