Provider Demographics
NPI:1568087872
Name:CHENG, CLAIRE RACHEL (PENDING MFTA)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:RACHEL
Last Name:CHENG
Suffix:
Gender:F
Credentials:PENDING MFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 BUTTERY RD
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-5210
Mailing Address - Country:US
Mailing Address - Phone:917-334-2178
Mailing Address - Fax:
Practice Address - Street 1:590 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-3608
Practice Address - Country:US
Practice Address - Phone:203-883-4310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist