| Elephant On The Couch | |
|
1345 Barnum Avenue Pmb 260 Stratford CT 06614 | |
| (203) 650-8679 | |
| Not Available |
| Full Name | Elephant On The Couch |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1345 Barnum Avenue, Stratford, Connecticut |
| Authorized Official Name and Position | Brittanni Koryn Cogdell (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2036508679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elephant On The Couch 1345 Barnum Avenue Pmb 260 Stratford CT 06614 Ph: (203) 650-8679 | Elephant On The Couch 1345 Barnum Avenue Pmb 260 Stratford CT 06614 Ph: (203) 650-8679 |
| NPI Number | 1700550803 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700550803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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