Doctor Name: | MRS. ELEONORA K. MASI |
NPI Number: | 1083907521 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | |
Business Practice Address: | 75 N Mountain Rd New Britain, CT - 060533468 |
Business Phone Number: | 8602246300 |
Business Fax Number: | 8602297302 |
Mailing Address: | 75 N Mountain Rd, NEW BRITAIN |
State: | CT |
Postal Code: | 060533468 |
Phone Number: | 8602246300 |
Fax Number: | 8602297302 |
NPI Enumeration Date: | 05/17/2011 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |