DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TERRI EBLEN LPC

MEDICARE: TERRI EBLEN LPC
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
1101YP2500XProfessional Counselor000103CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1191073OTHERCTMHN PROVIDER NUMBER

General Provider Information

NPI Number : 1093751067
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI EBLEN LPC
Provider Business Mailing Address
First Line : 1944 LITCHFIELD TPKE
Second Line :
City : WOODBRIDGE
State : CT
Zip : 06525-1251
Country : US
Telephone Number : 203-387-3417
Fax Number :
Provider Business Practice Location Address
First Line : 949 BRIDGEPORT AVE
Second Line :
City : MILFORD
State : CT
Zip : 06460-3142
Country : US
Telephone Number : 203-878-6365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 07/09/2007

Similar Medicare Providers

1053243477 — DANIELLE CASAPULLA LMSW
Practice Location Address:
949 BRIDGEPORT AVE
MILFORD, CT
06460-3142
Practice Phone: 203-878-6365
Practice Fax: 203-301-2397
1851350300 — BRIDGES HEALTHCARE INC.
Practice Location Address:
949 BRIDGEPORT AVE
MILFORD, CT
06460-3142
Practice Phone: 203-878-6365
Practice Fax: 203-301-2397
1568412989 — DONNA W KLIMOWICZ M.D.
Practice Location Address:
949 BRIDGEPORT AVE
MILFORD, CT
06460-3142
Practice Phone: 203-878-6365
Practice Fax:
1811935497 — MARY LOU OATES LCSW
Practice Location Address:
949 BRIDGEPORT AVE
MILFORD, CT
06460-3142
Practice Phone: 203-878-6365
Practice Fax:
1003856584 — ISABELLE BREEN LCSW
Practice Location Address:
949 BRIDGEPORT AVE
MILFORD, CT
06460-3142
Practice Phone: 203-878-6365
Practice Fax:
1417999194 — JULIA R CONTAXIS LCSW
Practice Location Address:
949 BRIDGEPORT AVE
MILFORD, CT
06460-3142
Practice Phone: 203-878-6365
Practice Fax:

Directions to “ TERRI EBLEN LPC” 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.