| Crystal Sanders, LPC | |
|
352 State St, North Haven, CT 06473-3108 | |
| (203) 781-4600 | |
| (203) 781-4624 |
| Full Name | Crystal Sanders |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 352 State St, North Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164851697 | NPI | - | NPPES |
| 008048270 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002425 (Connecticut) | Primary |
| Entity Name | The Hospital Of Connecticut At New Britain And Bradley Memorial |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Sanders, LPC 1 Long Wharf Dr, Ste. 321, New Haven, CT 06511-5991 Ph: (203) 781-4600 | Crystal Sanders, LPC 352 State St, North Haven, CT 06473-3108 Ph: (203) 781-4600 |
Martha Wright, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 352 State St, North Haven, CT 06473 Phone: 203-781-4695 Fax: 203-781-4624 | |
Maria Nunley, LPC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 352 State St, North Haven, CT 06473 Phone: 203-781-4600 | |
Daniel Battistoni, LPC Counselor Medicare: Medicare Enrolled Practice Location: 605 Washington Ave, North Haven, CT 06473 Phone: 203-767-5638 | |
Puylaurens Alexis, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 352 State St, North Haven, CT 06473 Phone: 203-781-4600 Fax: 203-781-4624 | |
Ms. Shaniqua Dillard, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 State St, North Haven, CT 06473 Phone: 203-437-6882 | |
Ms. Christine Porto, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 5 Linsley St, North Haven, CT 06473 Phone: 203-239-5321 Fax: 203-234-3942 | |
Lindsey Miranda, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 Washington Ave, North Haven, CT 06473 Phone: 203-228-2606 |