Provider Demographics
NPI:1376691410
Name:MCCOY, ARLENE BERNADETTE (PHD LMFT)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:BERNADETTE
Last Name:MCCOY
Suffix:
Gender:F
Credentials:PHD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-1310
Mailing Address - Country:US
Mailing Address - Phone:203-325-1119
Mailing Address - Fax:203-325-1119
Practice Address - Street 1:78 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-1310
Practice Address - Country:US
Practice Address - Phone:203-325-1119
Practice Address - Fax:203-325-1119
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000698106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist