| Organization Name: | NANCY BASTI PSYCHOLOGICAL CONSULTANTS LLC |
| NPI Number: | 1245559590 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANN MARIE BASTI (OWNER/LICENSED PROFESSIONAL COUNSEL) |
| Mailing Address: | 906 Bantam Rd Bantam |
| State: | CT US |
| Postal Code: | 06750 |
| Phone Number: | 8605672254 |
| Fax Number: | 8605672254 |
| NPI Enumeration Date: | 05/26/2010 |
| NPI Last Update Date: | 05/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 001298 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |