Provider Demographics
NPI:1578559043
Name:LOUDEN, CHRISTINE ELIZABETH (ND)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ELIZABETH
Last Name:LOUDEN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ELIZABETH
Other - Last Name:POST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:95 S MAIN ST FL 2
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-2506
Mailing Address - Country:US
Mailing Address - Phone:860-310-5559
Mailing Address - Fax:860-310-5561
Practice Address - Street 1:95 S MAIN ST FL 2
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2506
Practice Address - Country:US
Practice Address - Phone:860-310-5559
Practice Address - Fax:860-310-5561
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000241175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008043993Medicaid