Diloreto, Stacia Lynne

Diloreto, Stacia Lynne is an sole proprietor health care provider with primary practice located at 384 Merrow Rd Ste D , Tolland CT 06084-3957. 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. Diloreto, Stacia Lynne can be contacted via phone (860) 796-8003.

Contact Information

Primary practice address
384 Merrow Rd Ste D Tolland CT 06084-3957
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000978 Connecticut

Profile Details

NPI number 1265539258
LBN Legal business name Diloreto, Stacia Lynne
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Oct 14th, 2009 - about 17 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 1265539258 NPPES
Connecticut MEDICAID 004249175

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