Provider Demographics
NPI:1861133381
Name:CARDINAL THERAPY SERVICES, PLLC
Entity type:Organization
Organization Name:CARDINAL THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALEHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-595-6206
Mailing Address - Street 1:141 COLEMAN RD
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-3661
Mailing Address - Country:US
Mailing Address - Phone:617-595-6206
Mailing Address - Fax:
Practice Address - Street 1:141 COLEMAN RD
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-3661
Practice Address - Country:US
Practice Address - Phone:617-595-6206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health