Doctor Name: | MS. MICHELLE ADELMAN |
NPI Number: | 1093059511 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.ED., L.P.C. |
License Number: | 001438 |
Business Practice Address: | 161 Tanglewood Rd Trumbull, CT - 066111226 |
Business Phone Number: | 2036838288 |
Business Fax Number: | |
Mailing Address: | 161 Tanglewood Rd, TRUMBULL |
State: | CT |
Postal Code: | 066111226 |
Phone Number: | 2036838288 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2012 |
NPI Last Update Date: | 11/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |