Doctor Name: | DR. ANTHONY S. COMUNALE |
NPI Number: | 1235159740 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.D. |
License Number: | 000879 |
Business Practice Address: | 77 Main Street No. Suite 206 Southbury, CT - 06488 |
Business Phone Number: | 2032641121 |
Business Fax Number: | 2032643576 |
Mailing Address: | 77 Main Street North, Suite 206 SOUTHBURY |
State: | CT |
Postal Code: | 06488 |
Phone Number: | 2032641121 |
Fax Number: | 2032643576 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 000879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |