Provider Demographics
NPI:1518983535
Name:CRAFFEY, ALICIA MARIE (MS)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:MARIE
Last Name:CRAFFEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 FERNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-2918
Mailing Address - Country:US
Mailing Address - Phone:860-651-5681
Mailing Address - Fax:
Practice Address - Street 1:65 KANE ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06119-2110
Practice Address - Country:US
Practice Address - Phone:860-523-6435
Practice Address - Fax:860-523-6465
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS