| Doctor Name: | BETH VILLODAS |
| NPI Number: | 1417049313 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 001376 |
| Business Practice Address: | 1007 North Main St Dayville, CT - 06241 |
| Business Phone Number: | 8607742020 |
| Business Fax Number: | |
| Mailing Address: | 196 East St, STAFFORD SPRINGS |
| State: | CT |
| Postal Code: | 060764301 |
| Phone Number: | 8606843755 |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 001376 |
| 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: | |