Dicorpo, Michelle Lee

Dicorpo, Michelle Lee is an individual health care provider with primary practice located at 769 Newfield St Ste 2 , Middletown CT 06457-1846. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Dicorpo, Michelle Lee can be contacted via phone (860) 965-4072.

Contact Information

Primary practice address
769 Newfield St Ste 2 Middletown CT 06457-1846
Phone: (860) 965-4072
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1558707471
LBN Legal business name Dicorpo, Michelle Lee
Credentials MS, MFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2013
Last updated Jun 19th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558707471 NPPES
Connecticut MEDICAID 008001149

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