Ms Elba Iris Crespo, PHD | |
77 Eric St, Bridgeport, CT 06606-3118 | |
(203) 374-9868 | |
Not Available |
Full Name | Ms Elba Iris Crespo |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 35 Years |
Location | 77 Eric St, Bridgeport, Connecticut |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669528774 | NPI | - | NPPES |
060002555CT01 | Other | CT | ANTHEM BC |
330606 | Other | CT | MHN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 002555 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Preventative Healthcare Solutions Llc | 3375844566 | 3 |
Entity Name | Fairfield Counseling Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750633285 PECOS PAC ID: 0345494936 Enrollment ID: O20130207000128 |
Entity Name | Preventative Healthcare Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528434115 PECOS PAC ID: 3375844566 Enrollment ID: O20151211001623 |
Mailing Address | Practice Location Address |
---|---|
Ms Elba Iris Crespo, PHD 77 Eric St, Bridgeport, CT 06606-3118 Ph: (203) 374-9868 | Ms Elba Iris Crespo, PHD 77 Eric St, Bridgeport, CT 06606-3118 Ph: (203) 374-9868 |
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