Active NPIIndividual providerSole proprietor

Mark Landry

Marriage & Family Therapist in Stafford Springs, Connecticut

NPI Number1164639191
Practice location
21 Hyde Park RD, Stafford Springs, CT 06076-1507
Fax
—
Last updated
July 8, 2007

Mark Landry is a Marriage & Family Therapist based in Stafford Springs, CT. Mark Landry practices in Stafford Springs, CT. The NPI Number for Mark Landry is 1164639191. The current practice location address for Mark Landry is 21 Hyde Park RD, Stafford Springs, CT 06076-1507 and can be reached out via phone at 860-684-4239.

Provider Profile Details

NPI Number
1164639191
Provider Name
Mark Landry
Provider Entity Type
Individual
Gender
Male
Address
21 Hyde Park RD, Stafford Springs, CT 06076-1507
Phone Number
860-684-4239
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 17, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Hyde Park RD
Stafford Springs, CT 06076-1507
Zip
06076-1507
Phone Number
860-684-4239
Stafford Springs, CT 06076Get directions →

Provider Business Mailing Address Details

Address
62 Clubhouse Dr
Cromwell, CT 06416-2564
City
Cromwell
State
CT
Zip
06416-2564
Phone Number
860-632-7190

License Information

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 Mark Landry?

The NPI number of Mark Landry is 1164639191. It was assigned on May 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Mark Landry?

Mark Landry is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X).

Where does Mark Landry practice?

The practice location is 21 Hyde Park RD, Stafford Springs, CT 06076-1507. The office can be reached at 860-684-4239 (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 1164639191 directly on the NPPES registry website.

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