Doctor Name: | MS. JOYCE D BELLIS |
NPI Number: | 1467495499 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 001075 |
Business Practice Address: | 233 Mansfield Grove Rd Suite 507 East Haven, CT - 065124804 |
Business Phone Number: | 2034666303 |
Business Fax Number: | 2034690834 |
Mailing Address: | 233 Mansfield Grove Rd, Suite 507 EAST HAVEN |
State: | CT |
Postal Code: | 065124804 |
Phone Number: | 2034666303 |
Fax Number: | 2034690834 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 001075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |