Mark Landry in Stafford Springs - Marriage & Family Therapist

Mark Landry - NPI 1164639191

Mark Landry is a Marriage & Family Therapist in Stafford Springs, Connecticut. Mark Landry practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Mark Landry is 1164639191. The last update date is 2007-07-08.

Mark Landry's current location address is 21 Hyde Park Rd, Stafford Springs, Connecticut. You can contact this provider via phone number 8606844239. The mailing address for Mark Landry is 21 Hyde Park Rd, Stafford Springs, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Landry
Address 21 Hyde Park Rd, Stafford Springs, Connecticut
Phone Number 8606844239
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1164639191
Provider Enumeration Date 2007-05-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 21 Hyde Park Rd
City Stafford Springs
State Connecticut (CT)
Post Code 60761507
Phone Number 8606844239
Fax Number

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

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FAQs about Mark Landry

What is the Mark Landry's 1164639191?

The Mark Landry's NPI (National Provider Identifier) Number is 1164639191. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Mark Landry?

The Mark Landry is situated at 21 Hyde Park Rd, in the city of Stafford Springs, state of CT, with the zip code 60761507.

What is Mark Landry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mark Landry is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.

On what date did the Mark Landry receive its 1164639191 assignment from the Centers for Medicare & Medicaid Services?

The Mark Landry was assigned its 1164639191 by the Centers for Medicare & Medicaid Services on 2007-05-17.

When was the information regarding Mark Landry, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark Landry, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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