Active NPIIndividual providerSole proprietor

Ms. Jennifer C Slack, LMFT

Marriage & Family Therapist in Fairfield, Connecticut

NPI Number1659697829
Practice location
1630 Cross Hwy, Fairfield, CT 06824-1707
Fax
—
Last updated
April 13, 2010

Jennifer Cora Slack is a Marriage & Family Therapist based in Fairfield, CT. Jennifer Cora Slack practices in Fairfield, CT and has the professional credentials of LMFT. The NPI Number for Jennifer Cora Slack is 1659697829 and holds a License No. 001379 (CT). The current practice location address for Jennifer Cora Slack is 1630 Cross Hwy, Fairfield, CT 06824-1707 and can be reached out via phone at 203-434-5135.

Provider Profile Details

NPI Number
1659697829
Provider Name
Jennifer Cora Slack
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
1630 Cross Hwy, Fairfield, CT 06824-1707
Phone Number
203-434-5135
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 13, 2010
Last Update Date
April 13, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1630 Cross Hwy
Fairfield, CT 06824-1707
Zip
06824-1707
Phone Number
203-434-5135
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
1630 Cross Hwy
Fairfield, CT 06824-1707
City
Fairfield
State
CT
Zip
06824-1707

License Information

License Number
001379
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 Ms. Jennifer C Slack, LMFT?

The NPI number of Ms. Jennifer C Slack, LMFT is 1659697829. It was assigned on April 13, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Jennifer C Slack, LMFT?

Ms. Jennifer C Slack, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 001379.

Where does Ms. Jennifer C Slack, LMFT practice?

The practice location is 1630 Cross Hwy, Fairfield, CT 06824-1707. The office can be reached at 203-434-5135 (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 1659697829 directly on the NPPES registry website.

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