| Organization, Name | Practice Address | Practice Phone | Taxonomy | NPI |
| Ahlcrona, Michelle M MS CCC-SLP | 44 Hatchetts Hill Rd Old Lyme CT 06371-1512 | 860-434-4800 | 235Z00000X | 1083855597 |
| OTHER CT NPI : 1922123314 |
| Avolio, Gloria PSYD | 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | 800-370-3651 | 103TB0200X | 1336790823 |
| Ballas, Angela Farah APRN | 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | 800-370-3651 | 363LP0808X | 1891122362 |
| Bauer, Laura E PT | 44 Hatchetts Hill Rd Old Lyme CT 06371-1512 | 860-434-4800 | 225100000X | 1659512986 |
| OTHER CT NPI : 1922123314 |
| Blair, Brian | 6 Davis Rd W Old Lyme CT 06371-1448 | 860-434-9155 | 225100000X | 1447457528 |
| OTHER CT LICENSE# : TEMP LICENSE |
| Bliss, Mrs. Ann A LCSW | 9 Lyme St Ste 2 Old Lyme CT 06371-2337 | 860-434-7680 | 1041C0700X | 1982698429 |
| Bridges Parent, Leslie S OTR | 44 Hatchetts Hill Rd Old Lyme CT 06371-1512 | 860-434-4800 | 225X00000X | 1548401052 |
| OTHER CT NPI : 1922123314 |
| Briscoe, Mrs. Jan Fitzgerald | 81 Halls Rd Unit C Old Lyme CT 06371 | 860-304-9865 | 106H00000X | 1588784375 |
| Budoff, Gabriell AGNP-C | 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | 800-370-3651 | 363LG0600X | 1265911473 |
| Chung, Emily | 42 Browns Ln Old Lyme CT 06371 | 860-235-3636 | 183500000X | 1619487162 |
| Claise, Karen Ann NP | 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | 800-370-3651 | 363LA2100X | 1750446852 |
| MEDICAID IN : 200871540 |
| Clark, Elizabeth Jane D.D.S. | 19 Halls Rd Ste 218 Old Lyme CT 06371-1457 | 860-434-7378 | 1223G0001X | 1407038128 |
| Clinton, Mr. William LICENSED OPTICIAN | 29 Old Stagecoach Rd Old Lyme CT 06371-1337 | 860-861-0112 | 156FX1800X | 1932852050 |
| Corrao, Dr. Anthony Albert D.D.S. | 6 Davis Rd W Old Lyme CT 06371-1448 | 860-434-5565 | 1223G0001X | 1124231279 |
| OTHER CT STATE LICENSE : 4249 |
| Cummings Satti, Dr. Mary M.D. | 8 Vista Dr Eastport North Business Park Old Lyme CT 06371-1537 | 860-434-8847 | 207R00000X | 1376540849 |
| MEDICAID CT : 001331123 |
| D'mello, Suresh Cec Il M.D. | 19 Halls Rd Old Lyme CT 06371-1457 | 860-434-8300 | 207Q00000X | 1144387838 |
| MEDICAID CT : 001335654 |
| D'occhio, Dr. Michael Anthony D.M.D. | 6 Davis Rd W Old Lyme CT 06371-1448 | 860-434-5565 | 1223G0001X | 1700195807 |
| Dean, Robert PH.D. | 19 Halls Rd #234 Old Lyme CT 06371-1457 | 860-434-5398 | 103TC0700X | 1275991028 |
| Deyorio, Ms. Michelle Kathryn MS, OTR/L | 19 Halls Rd Old Lyme CT 06371-1457 | 860-434-5524 | 225XP0200X | 1639517162 |
| Doherty, Terrence A MD | 19 Halls Rd Old Lyme CT 06371-1457 | 860-434-8300 | 207Q00000X | 1255435558 |
| MEDICAID CT : 1294769 |
| Donovan, Karen G | 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | 800-370-3651 | 363LG0600X | 1154591394 |
| MEDICAID CT : 008046486 |
| Falb, Melissa | 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | 800-370-3651 | 103T00000X | 1457702052 |
| Fallon, Kathryn Ann NURSE PRACTITIONER | 8 Ascot Ln Old Lyme CT 06371-1870 | 860-434-1008 | 363LF0000X | 1316129455 |
| Faniola, Dr. John Nicholas D.D.S. | 11 Academy Ln Old Lyme CT 06371-2312 | 860-434-2061 | 1223G0001X | 1407905094 |
| Filippi, Cristan | 37 Jericho Dr Old Lyme CT 06371-1329 | 860-334-8153 | 101YM0800X | 1942500814 |
| Fisher, Ms. Karin Elizabeth L.M.F.T. | 83 Halls Rd Suite 201 Old Lyme CT 06371-1459 | 860-434-9438 | 106H00000X | 1003909870 |
| OTHER CT ANTHEM ID : 410000933CT01 || OTHER CT OXFORD ID : P3661974 || OTHER CT MHN ID : 300301 || OTHER CT CAQH ID : 11242235 |
| Flores, Kristina APN | 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | 800-370-3651 | 363LA2200X | 1407293863 |
| Flynn, Brett J.m. EMT-P , ATC, CSCS | 69 Lyme St # 1 Old Lyme CT 06371-2335 | 860-434-1652 | 146L00000X | 1801012745 |
| Forcey, Sherifat NP | 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | 800-370-3651 | 163WP0809X | 1043861438 |
| Friedmann, Karl R. M.D. | 40 Coult Lane Old Lyme CT 06371 | 860-434-2783 | 207Q00000X | 1285956987 |
| Giordano, Nicola PSY.D | 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | 800-370-3651 | 103TC0700X | 1225216880 |
| OTHER CT MHN : 446545 || MEDICAID CT : 1225216880 |
| Glazman, Shragit MD | 55 Hatchetts Hill Rd Old Lyme CT 06371 | 800-370-3651 | 2084P0805X | 1225219108 |
| Goldblatt, Dr. Jeffrey Stuart M.D. | 4 Huntley Road Sutie 1 Old Lyme CT 06371 | 860-434-4073 | 208600000X | 1366478158 |
| OTHER CT HEALTH NET : 2V5496 || OTHER CT AETNA : 3444674 || OTHER CT TAX ID : 65-1212930 || OTHER CT CONNECTICARE : 719901J245 || OTHER CT ANTHEM BCBS : 010016369CT03 || OTHER CT CIGNA : 2590570 || MEDICAID CT : 001163690 || OTHER CT OXFORD : P3645106 |
| Goldkamp, Dr. Karl M ND | 81 Halls Road Old Lyme CT 06371 | 860-434-3100 | 175F00000X | 1588702583 |
| Gombotz, Mark | 6 Davis Rd E Old Lyme CT 06371-1447 | 860-434-9155 | 225100000X | 1922116185 |
| OTHER CT LICENSE # : 005690 |
| Graves, Jay Allan M.D. | 19 Halls Rd Old Lyme CT 06371-1457 | 860-434-8300 | 207Q00000X | 1083771745 |
| MEDICAID CT : 001204999 |
| Green, Elizabeth | 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | 800-370-3651 | 1041C0700X | 1780125328 |
| Greenblatt, Ms. Ruth E PT | 44 Hatchetts Hill Rd Old Lyme CT 06371-1512 | 860-434-4800 | 225100000X | 1013158393 |
| Grills, Ms. Megan E M.ED. OTR/L | 19 Halls Rd Suite 204 Old Lyme CT 06371-1457 | 860-434-5524 | 225X00000X | 1285071928 |
| Groth, Mary Elizabeth A.P.R.N., P.M.H.S. | 59 Lyme Street Old Lyme CT 06371 | 860-373-6208 | 363LP0200X | 1508849076 |
| MEDICAID CT : 004200391 |
| Hallahan, Sharon | 6 Davis Rd W Old Lyme CT 06371-1448 | 860-434-9155 | 225100000X | 1184819369 |
| Hambidge, Kristin PSYD | 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | 800-370-3651 | 103TC0700X | 1790295335 |
| Hunter, Constance Macleod OTR/L | 19 Halls Rd Suite 204 Old Lyme CT 06371-1457 | 860-434-5524 | 225X00000X | 1437599750 |
| Kelly, Melissa MS, RD, CDN | 8 Strawberry Ln Old Lyme CT 06371-2627 | 860-575-2890 | 133V00000X | 1871901314 |
| Knowlton, Mrs. Melissa Ann MSPT | 19 Halls Rd Suite 201 Old Lyme CT 06371-1457 | 860-434-5524 | 225100000X | 1699047662 |
| Koslawy, Maria A APRN | 8 Vista Dr Eastport North Business Park Old Lyme CT 06371-1587 | 860-434-8847 | 363LP2300X | 1831300144 |
| Krauss, Walter | 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | 800-370-3651 | 103T00000X | 1326593708 |
| Landolt, Ms. Jennifer Lou NURSE PRACTITIONER | 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | 800-370-3651 | 363LP0808X | 1679734123 |
| Lang, Mrs. Susan Ferrier | 19 Halls Rd Suite 213 Old Lyme CT 06371-1457 | 860-434-1190 | 225100000X | 1568529238 |
| OTHER CT BLUE CROSS & BLUE SHIELD : 080005063CT05 |
| Lathrop, Patricia RNFA | 28 Neck Rd Old Lyme CT 06371-1422 | 860-213-1833 | 163WR0006X | 1336287861 |
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