Frederick Streets
Counselor, Pastoral in Stratford, Connecticut
1003459389- Practice location
- 602 Nichols Ave, Stratford, CT 06614-3925
- Phone
- 203-296-2430
- Fax
- —
- Last updated
- October 19, 2019
Frederick Streets is a Counselor, Pastoral based in Stratford, CT. Frederick Streets practices in Stratford, CT. The NPI Number for Frederick Streets is 1003459389 and holds a License No. 002270 (CT). The current practice location address for Frederick Streets is 602 Nichols Ave, Stratford, CT 06614-3925 and can be reached out via phone at 203-296-2430.
Provider Profile Details
- NPI Number
- 1003459389
- Provider Name
- Frederick Streets
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 602 Nichols Ave, Stratford, CT 06614-3925
- Phone Number
- 203-296-2430
- Primary Taxonomy
- Counselor, Pastoral · 101YP1600X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 19, 2019
- Last Update Date
- October 19, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 602 Nichols Ave
Stratford, CT 06614-3925 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-3925
- Phone Number
- 203-296-2430
Provider Business Mailing Address Details
- Address
- 602 Nichols Ave
Stratford, CT 06614-3925 - City
- Stratford
- State
- CT
- Zip
- 06614-3925
- Phone Number
- 203-296-2430
License Information
- License Number
- 002270
- License State
- CT
- Taxonomy
- Counselor, Pastoral · 101YP1600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Frederick Streets?
The NPI number of Frederick Streets is 1003459389. It was assigned on October 19, 2019 and is currently active in the NPPES registry.
What is the specialty of Frederick Streets?
Frederick Streets is registered under the primary taxonomy Counselor, Pastoral (code 101YP1600X), licensed in CT under license number 002270.
Where does Frederick Streets practice?
The practice location is 602 Nichols Ave, Stratford, CT 06614-3925. The office can be reached at 203-296-2430 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003459389 directly on the NPPES registry website.