| Doctor Name: | MRS. MARY ANN STARKES |
| NPI Number: | 1043323025 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN,MSN,APRN,BC |
| License Number: | 001795 |
| Business Practice Address: | 3074 Whitney Ave Building One Hamden, CT - 065182391 |
| Business Phone Number: | 2032489110 |
| Business Fax Number: | 2032872404 |
| Mailing Address: | 3074 Whitney Ave, Building One HAMDEN |
| State: | CT |
| Postal Code: | 065182391 |
| Phone Number: | 2032489110 |
| Fax Number: | 2032872404 |
| NPI Enumeration Date: | 08/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 001795 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |