| Riverside Therapy LLC | |
|
50 Washington Ave Westport CT 06880-2548 | |
| (203) 832-3490 | |
| (508) 433-1871 |
| Full Name | Riverside Therapy LLC |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 50 Washington Ave, Westport, Connecticut |
| Authorized Official Name and Position | Marina Klimova (OWNER) |
| Authorized Official Contact | 2038323490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Therapy LLC 50 Washington Ave Westport CT 06880-2548 Ph: (203) 832-3490 | Riverside Therapy LLC 50 Washington Ave Westport CT 06880-2548 Ph: (203) 832-3490 |
| NPI Number | 1659738565 |
|---|---|
| Provider Enumeration Date | 01/22/2016 |
| Last Update Date | 01/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659738565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1766 (Connecticut) | Primary |
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