Active NPIIndividual provider

Lisa R Shoglow, LMFT

Marriage & Family Therapist in Fairfield, Connecticut

NPI Number1053897108
Practice location
125 Penfield RD, Fairfield, CT 06824-6611
Fax
203-368-9167
Last updated
July 12, 2018

Lisa R Shoglow is a Marriage & Family Therapist based in Fairfield, CT. Lisa R Shoglow practices in Fairfield, CT and has the professional credentials of LMFT. The NPI Number for Lisa R Shoglow is 1053897108 and holds a License No. 002011 (CT). The current practice location address for Lisa R Shoglow is 125 Penfield RD, Fairfield, CT 06824-6611 and can be reached out via phone at 203-255-5777 and via fax at 203-368-9167.

Provider Profile Details

NPI Number
1053897108
Provider Name
Lisa R Shoglow
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
125 Penfield RD, Fairfield, CT 06824-6611
Phone Number
203-255-5777
Fax Number
203-368-9167
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2018
Last Update Date
July 12, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Penfield RD
Fairfield, CT 06824-6611
Zip
06824-6611
Phone Number
203-255-5777
Fax Number
203-368-9167
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
475 Clinton Ave
Bridgeport, CT 06605-1700
City
Bridgeport
State
CT
Zip
06605-1700
Phone Number
203-368-4291
Fax Number
203-368-9167

License Information

License Number
002011
License State
CT
Taxonomy
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Lisa R Shoglow, LMFT?

The NPI number of Lisa R Shoglow, LMFT is 1053897108. It was assigned on July 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Lisa R Shoglow, LMFT?

Lisa R Shoglow, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 002011.

Where does Lisa R Shoglow, LMFT practice?

The practice location is 125 Penfield RD, Fairfield, CT 06824-6611. The office can be reached at 203-255-5777 (phone) or 203-368-9167 (fax).

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 1053897108 directly on the NPPES registry website.

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