Provider Demographics
NPI:1184024234
Name:CALANDRA, ELIZABETH ANN (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:CALANDRA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:VANKUREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:64 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PLANTSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06479-1918
Mailing Address - Country:US
Mailing Address - Phone:860-637-1394
Mailing Address - Fax:
Practice Address - Street 1:5 COLONY STREET
Practice Address - Street 2:SUITE 302
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-3272
Practice Address - Country:US
Practice Address - Phone:860-637-1394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001665106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist