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HEATHER BOARDMAN LMFT
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1598212433
Individual Registrant: HEATHER BOARDMAN LMFT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
85 WALL ST MADISON, CT 06443-3121 US
Tel: 203-444-4518 Fax: --
Tel: 203-444-4518 Fax: --
Contact information for business:
12 CEDAR DR KILLINGWORTH, CT 06419-2246 US
Tel: 203-444-4518 Fax: --
Tel: 203-444-4518 Fax: --
Registration Information:
NPI: 1598212433
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CT | 001580 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
