Provider Demographics
NPI:1336565316
Name:GUMPEL, NORA J (LMFT)
Entity Type:Individual
Prefix:MS
First Name:NORA
Middle Name:J
Last Name:GUMPEL
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-5750
Mailing Address - Country:US
Mailing Address - Phone:914-204-4396
Mailing Address - Fax:
Practice Address - Street 1:21 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:PAWCATUCK
Practice Address - State:CT
Practice Address - Zip Code:06379-1857
Practice Address - Country:US
Practice Address - Phone:914-204-4396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001655106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist