Provider Demographics
NPI:1871554428
Name:SCHIFFMAN, CAROL G (LPC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:G
Last Name:SCHIFFMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 BALLARD DR
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119-1004
Mailing Address - Country:US
Mailing Address - Phone:860-523-1573
Mailing Address - Fax:
Practice Address - Street 1:968 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2172
Practice Address - Country:US
Practice Address - Phone:860-523-0288
Practice Address - Fax:860-523-0470
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000181101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT000181OtherL.P.C.