MEDICARE: LISA SHOGLOW, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366908550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LISA SHOGLOW, LLC

Provider Business Mailing Address
First Line	:	64 OLD HYDE RD
Second Line	:
City	:	WESTON
State	:	CT
Zip	:	06883-1726
Country	:	US
Telephone Number	:	203-810-8348
Fax Number	:

Provider Business Practice Location Address
First Line	:	64 OLD HYDE RD
Second Line	:
City	:	WESTON
State	:	CT
Zip	:	06883-1726
Country	:	US
Telephone Number	:	203-810-8348
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL BILLING MANAGER
Name	:	GRACE CULLEN
Credential	:
Telephone Number	:	203-368-5515

Provider Enumeration Date	:	02/13/2019
Last Update Date	:	02/13/2019

Similar Medicare Providers

1932198074 — MRS. JOSEPH KANEFSKY ATC
Practice Location Address:

1165 FALLS BLVD
WESTON, FL
33327-1726

Practice Phone: 954-804-2825
Practice Fax:

1295159275 — ACUTE MEDICAL SUPPLY
Practice Location Address:

1165 FALLS BLVD
WESTON, FL
33327-1726

Practice Phone: 954-800-3466
Practice Fax:

1962276899 — ACUTE MEDICAL SUPPLY
Practice Location Address:

1165 FALLS BLVD
WESTON, FL
33327-1726

Practice Phone: 954-804-2825
Practice Fax:

1093714404 — MRS. PATRICIA BEVERLY BILLONE LPC
Practice Location Address:

7 CURIOSITY LN
WESTON, CT
06883-1701

Practice Phone: 203-341-0355
Practice Fax: 203-341-0355

1609984921 — WESTON PHARMACY LLC
Practice Location Address:

190 WESTON RD
WESTON, CT
06883-2126

Practice Phone: 203-226-1083
Practice Fax: 203-222-9380

1245313493 — DR. ELIN R COHEN MD
Practice Location Address:

4 GOODHILL RD
WESTON, CT
06883

Practice Phone: 203-226-3035
Practice Fax: 203-221-1736

Directions to “LISA SHOGLOW, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.