Procaccini, Joanna Celeste
Procaccini, Joanna Celeste is an sole proprietor health care provider with primary practice located at 203 Broad St Suite C4, Milford CT 06460-4751. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Procaccini, Joanna Celeste can be contacted via phone (203) 850-0140.Contact Information
Primary practice address
203 Broad St Suite C4
Milford CT 06460-4751
Phone: (203) 850-0140
Fax: (888) 783-9125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 003411 | Connecticut |
Profile Details
| NPI number | 1891058780 |
|---|---|
| LBN Legal business name | Procaccini, Joanna Celeste |
| Credentials | PSY.D., NCSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2012 |
| Last updated | May 29th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891058780 | NPPES |
| Connecticut | MEDICAID | 1891058780 |
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