Active NPIIndividual provider

Eileen G Andricovich, LMFT

Marriage & Family Therapist in Brookfield, Connecticut

NPI Number1568612372
Practice location
2 Old New Milford Road, Suite 1-B, Brookfield, CT 06804
Fax
203-775-2863
Last updated
April 19, 2016

Eileen G. Andricovich is a Marriage & Family Therapist based in Brookfield, CT. Eileen G. Andricovich practices in Brookfield, CT and has the professional credentials of LMFT. The NPI Number for Eileen G. Andricovich is 1568612372 and holds a License No. MFT-771 (CO). The current practice location address for Eileen G. Andricovich is 2 Old New Milford Road, Suite 1-B, Brookfield, CT 06804 and can be reached out via phone at 203-775-2583 and via fax at 203-775-2863.

Provider Profile Details

NPI Number
1568612372
Provider Name
Eileen G. Andricovich
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
2 Old New Milford Road, Suite 1-B, Brookfield, CT 06804
Phone Number
203-775-2583
Fax Number
203-775-2863
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
No
Provider Enumeration Date
September 29, 2008
Last Update Date
April 19, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Old New Milford Road
Suite 1-B
Brookfield, CT 06804
Zip
06804
Phone Number
203-775-2583
Fax Number
203-775-2863
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
2 Old New Milford Road
Suite 1-B
Brookfield, CT 06804
City
Brookfield
State
CT
Zip
06804
Phone Number
203-775-2583
Fax Number
206-775-2863

License Information

License Number (1)
MFT-771
License State (1)
CO
Taxonomy (1)
Marriage & Family Therapist · 106H00000X
License Number (2)
#001720
License State (2)
CT
Taxonomy (2)
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 Eileen G Andricovich, LMFT?

The NPI number of Eileen G Andricovich, LMFT is 1568612372. It was assigned on September 29, 2008 and is currently active in the NPPES registry.

What is the specialty of Eileen G Andricovich, LMFT?

Eileen G Andricovich, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CO under license number MFT-771.

Where does Eileen G Andricovich, LMFT practice?

The practice location is 2 Old New Milford Road, Suite 1-B, Brookfield, CT 06804. The office can be reached at 203-775-2583 (phone) or 203-775-2863 (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 1568612372 directly on the NPPES registry website.

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