MS. GERALDINE MARRIN GREGG


Address: 53 Myanos Rd, New Canaan, CT 06840-3923
Phone: 2039661264

MS. GERALDINE MARRIN GREGG (NPI# 1043567076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043567076
Entity Type Individual
Full Name MS. GERALDINE MARRIN GREGG
Credential MSSW
Practice Address 53 Myanos Rd
New Canaan
CT 06840-3923
Mailing Address 72 Park St
New Canaan
CT 06840-4532
Practice Telephone 2039661264
Mailing Telephone 2039661264
Enumeration Date 2012-08-09
Last Update Date 2012-09-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
001007 CT Behavioral Health & Social Service Providers

Office Location

Street Address 53 MYANOS RD
City NEW CANAAN
State CT
Zip Code 06840-3923

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City NEW CANAAN
Zip Code 06840

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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