| Ms Kathleen Mary Clancy, LMFT | |
|
100 Bank St, Suite 306, Seymour, CT 06483-2806 | |
| (203) 888-0462 | |
| (203) 888-1465 |
| Full Name | Ms Kathleen Mary Clancy |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 100 Bank St, Seymour, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942455837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 96302 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | 001294 (Connecticut) | Secondary |
| Entity Name | Fusion Care Group A Psychological Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275177982 PECOS PAC ID: 8921433590 Enrollment ID: O20200109000932 |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kathleen Mary Clancy, LMFT 100 Bank St, Suite 306, Seymour, CT 06483-2806 Ph: (203) 888-0462 | Ms Kathleen Mary Clancy, LMFT 100 Bank St, Suite 306, Seymour, CT 06483-2806 Ph: (203) 888-0462 |
Dorothy Kovacs, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 276 Bank St, Seymour, CT 06483 Phone: 203-260-9800 | |
Louisa Printz, MFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 Bank St Ste 306, Seymour, CT 06483 Phone: 203-888-0462 | |
Alicia Zamora, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 Bank St, Seymour, CT 06483 Phone: 203-888-0462 | |
Jacqueline Ruth Mcpherson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39 New Haven Rd, Suite E, Seymour, CT 06483 Phone: 860-919-4708 | |
Karen Reardon, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 Bank St, Suite 306, Seymour, CT 06483 Phone: 203-888-0462 Fax: 203-888-1465 | |
Mr. Justin Jon Kruger, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 Bank St Ste 306, Seymour, CT 06483 Phone: 203-888-0462 Fax: 203-888-1465 | |
Kerri Ann Anderson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 Bank Street., Ste 306, Seymour, CT 06483 Phone: 203-888-0462 |