Lisa Gauthier Miceli in New London - Psychologist
Lisa Gauthier Miceli - NPI 1497812457
Lisa Gauthier Miceli is a Psychologist in New London, Connecticut. Lisa Gauthier Miceli practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lisa Gauthier Miceli is 1497812457. The last update date is 2007-07-08.
Lisa Gauthier Miceli's current location address is 100 Glenwood Ave, New London, Connecticut. You can contact this provider via phone number 8604447322. The mailing address for Lisa Gauthier Miceli is 100 Glenwood Ave, New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Gauthier Miceli |
|---|---|
| Address | 100 Glenwood Ave, New London, Connecticut |
| Phone Number | 8604447322 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1497812457 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Glenwood Ave |
|---|---|
| City | New London |
| State | Connecticut (CT) |
| Post Code | 63204350 |
| Phone Number | 8604447322 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2284 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code issued to Lisa Gauthier Miceli by the Centers for Medicare & Medicaid Services?
The Lisa Gauthier Miceli has been assigned the NPI (National Provider Identifier) 1497812457 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Lisa Gauthier Miceli?
The Lisa Gauthier Miceli is physically situated at 100 Glenwood Ave, in the city of New London, state of CT, with the postal code 63204350.
What is the area of specialization for Lisa Gauthier Miceli, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa Gauthier Miceli is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497812457 to Lisa Gauthier Miceli?
The Lisa Gauthier Miceli received its 1497812457 assignment from the Centers for Medicare & Medicaid Services on 2007-01-02.
As of what date was the information regarding Lisa Gauthier Miceli, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Gauthier Miceli, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.