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NPI Code Detail

MEDICARE: MRS. DORI Y BESSETTE-CRAIL MA, LMFT

MEDICARE: MRS. DORI Y BESSETTE-CRAIL MA, LMFT
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
1106H00000XMarriage & Family Therapist1282CT

General Provider Information

NPI Number : 1972758308
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DORI Y BESSETTE-CRAIL MA, LMFT
Provider Business Mailing Address
First Line : 37 ALEXANDER ST
Second Line :
City : MANCHESTER
State : CT
Zip : 06040-3902
Country : US
Telephone Number : 860-402-8606
Fax Number :
Provider Business Practice Location Address
First Line : 317 N MAIN ST
Second Line :
City : MANCHESTER
State : CT
Zip : 06042-2007
Country : US
Telephone Number : 860-643-2101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2008
Last Update Date : 11/26/2008

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