Healthcare Provider Details

I. General information

NPI: 1487561270
Provider Name (Legal Business Name): CHRISTINA FRITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MILL PLAIN RD FL 3
DANBURY CT
06811-5189
US

IV. Provider business mailing address

193 URSULA PL
STAMFORD CT
06902-4215
US

V. Phone/Fax

Practice location:
  • Phone: 203-800-9778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3373
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: