NPI 1114554649 · live from the CMS NPI Registry
Juliette Brisman Zuckerman
Marriage & Family Therapist in Fairfield, CT. National Provider Identifier 1114554649, active.
NPI record
| NPI | 1114554649 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 2452 Black Rock Tpke Ste O5, Fairfield, CT 06825 |
| Practice phone | 203-433-3563 |
| Mailing address | 1000 Jefferson St Ste 2c, Lynchburg, VA 24504 |
| Enumerated | March 25, 2020 |
| Last updated | March 25, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 002302 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.