SAMUEL R SEGAL LPC LADC NPI 1881874881

NPI Information

NPI: 1881874881
Provider Name: SAMUEL R SEGAL, LPC, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
88 GRANDVIEW AVE
WEST MAIN BEHAVIORAL HEALTH
WATERBURY, CT
ZIP 06708
Phone: (203) 573-6103
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Samuel R Segal, LPC, LADC is an addiction (substance use disorder) counselor in Waterbury, CT. Samuel R Segal, LPC, LADC NPI is 1881874881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

88 GRANDVIEW AVE
WEST MAIN BEHAVIORAL HEALTH
WATERBURY, CT
ZIP 06708-509
Phone: (203) 573-6103
Fax: (203) 573-7578

The enumeration date for this NPI number is 11/7/2007 and was last updated on 11/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	000006	CONNECTICUT	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000287	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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