Provider Demographics
NPI:1952792541
Name:DEW, KRISTEN COCCHIA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:COCCHIA
Last Name:DEW
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:ALEXIS
Other - Last Name:COCCHIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:24 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-4843
Mailing Address - Country:US
Mailing Address - Phone:203-707-1277
Mailing Address - Fax:
Practice Address - Street 1:755 MAIN ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-2830
Practice Address - Country:US
Practice Address - Phone:203-707-1277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-18
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001710106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist