Active NPIIndividual providerSole proprietor

Dr. Elizabeth J Cracco, PHD

Psychologist in Pomfret Center, Connecticut

NPI Number1538370085
Practice location
161 Mashmoquet RD, Pomfret Center, CT 06259-0191
Fax
—
Last updated
July 8, 2007

Elizabeth Jo-An Cracco is a Psychologist based in Pomfret Center, CT. Elizabeth Jo-An Cracco practices in Pomfret Center, CT and has the professional credentials of PHD. The NPI Number for Elizabeth Jo-An Cracco is 1538370085 and holds a License No. 002485 (CT). The current practice location address for Elizabeth Jo-An Cracco is 161 Mashmoquet RD, Pomfret Center, CT 06259-0191 and can be reached out via phone at 860-928-5904.

Provider Profile Details

NPI Number
1538370085
Provider Name
Elizabeth Jo-An Cracco
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
161 Mashmoquet RD, Pomfret Center, CT 06259-0191
Phone Number
860-928-5904
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 25, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
161 Mashmoquet RD
Pomfret Center, CT 06259-0191
Zip
06259-0191
Phone Number
860-928-5904
Pomfret Center, CT 06259Get directions →

Provider Business Mailing Address Details

Address
86 Prospect St
Putnam, CT 06260-2113
City
Putnam
State
CT
Zip
06260-2113
Phone Number
860-963-7483

License Information

License Number
002485
License State
CT
Taxonomy
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. Elizabeth J Cracco, PHD?

The NPI number of Dr. Elizabeth J Cracco, PHD is 1538370085. It was assigned on May 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Elizabeth J Cracco, PHD?

Dr. Elizabeth J Cracco, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CT under license number 002485.

Where does Dr. Elizabeth J Cracco, PHD practice?

The practice location is 161 Mashmoquet RD, Pomfret Center, CT 06259-0191. The office can be reached at 860-928-5904 (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 1538370085 directly on the NPPES registry website.

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