Healthcare Provider Details

I. General information

NPI: 1780031476
Provider Name (Legal Business Name): MRS. MARGARET BIGGART
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2016
Last Update Date: 09/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 TODD HILL RD
BETHLEHEM CT
06751
US

IV. Provider business mailing address

98 TODD HILL RD
BETHLEHEM CT
06751-1018
US

V. Phone/Fax

Practice location:
  • Phone: 203-884-8652
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: