Provider Demographics
NPI:1972758308
Name:BESSETTE-CRAIL, DORI Y (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:DORI
Middle Name:Y
Last Name:BESSETTE-CRAIL
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MS
Other - First Name:DORI
Other - Middle Name:Y
Other - Last Name:BESSETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MFT
Mailing Address - Street 1:37 ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-3902
Mailing Address - Country:US
Mailing Address - Phone:860-402-8606
Mailing Address - Fax:
Practice Address - Street 1:317 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-2007
Practice Address - Country:US
Practice Address - Phone:860-643-2101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1282106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist