Provider Demographics
NPI:1558815290
Name:SPIJKERS, EVA C (LMFT)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:C
Last Name:SPIJKERS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 GLOVER AVE APT 136
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-1397
Mailing Address - Country:US
Mailing Address - Phone:860-499-0359
Mailing Address - Fax:
Practice Address - Street 1:150 GLOVER AVE APT 136
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-1397
Practice Address - Country:US
Practice Address - Phone:860-499-0359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1815106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist