Active NPIIndividual providerSole proprietor

Dr. Sally R Eldridge, PHD

Psychologist in Storrs, Connecticut

NPI Number1528142742
Practice location
18 Dog Ln Ste A, Storrs, CT 06268-2225
Fax
—
Last updated
June 16, 2020

Sally R Eldridge is a Psychologist based in Storrs, CT. Sally R Eldridge practices in Storrs, CT and has the professional credentials of PHD. The NPI Number for Sally R Eldridge is 1528142742 and holds a License No. ct000847 (CT). The current practice location address for Sally R Eldridge is 18 Dog Ln Ste A, Storrs, CT 06268-2225 and can be reached out via phone at 860-644-0305.

Provider Profile Details

NPI Number
1528142742
Provider Name
Sally R Eldridge
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
18 Dog Ln Ste A, Storrs, CT 06268-2225
Phone Number
860-644-0305
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 24, 2006
Last Update Date
June 16, 2020
Certification Date
June 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Dog Ln Ste A
Storrs, CT 06268-2225
City
Storrs
Zip
06268-2225
Phone Number
860-644-0305
Storrs, CT 06268Get directions →

Provider Business Mailing Address Details

Address
Po Box 131
Storrs, CT 06268-0131
City
Storrs
State
CT
Zip
06268-0131
Phone Number
860-644-0305

License Information

License Number (1)
ct000847
License State (1)
CT
Taxonomy (1)
Marriage & Family Therapist · 106H00000X
License Number (2)
3406
License State (2)
CT
Taxonomy (2)
Psychologist · 103T00000X · 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 Dr. Sally R Eldridge, PHD?

The NPI number of Dr. Sally R Eldridge, PHD is 1528142742. It was assigned on October 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Sally R Eldridge, PHD?

Dr. Sally R Eldridge, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CT under license number ct000847.

Where does Dr. Sally R Eldridge, PHD practice?

The practice location is 18 Dog Ln Ste A, Storrs, CT 06268-2225. The office can be reached at 860-644-0305 (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 1528142742 directly on the NPPES registry website.

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