Provider Demographics
NPI:1902115975
Name:ALDRIDGE, MEGAN C (LMFT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:C
Last Name:ALDRIDGE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 PENDLETON DR
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:CT
Mailing Address - Zip Code:06248-1525
Mailing Address - Country:US
Mailing Address - Phone:860-228-9488
Mailing Address - Fax:860-228-1213
Practice Address - Street 1:25 PENDLETON DR
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:CT
Practice Address - Zip Code:06248-1525
Practice Address - Country:US
Practice Address - Phone:860-228-9488
Practice Address - Fax:860-228-1213
Is Sole Proprietor?:No
Enumeration Date:2010-09-24
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1565106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist