| Doctor Name: | CLAIRE W BAMBERG |
| NPI Number: | 1104989243 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.MIN, LMFT |
| License Number: | 39000252A |
| Business Practice Address: | 799 Hopmeadow St The Annex Simsbury, CT - 060701821 |
| Business Phone Number: | 8606587710 |
| Business Fax Number: | 8606587710 |
| Mailing Address: | 223 Stratton Brook Rd, WEST SIMSBURY |
| State: | CT |
| Postal Code: | 060922430 |
| Phone Number: | 8606587710 |
| Fax Number: | 8606587710 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 39000252A |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |