| Doctor Name: | JED BIONDI |
| NPI Number: | 1508901497 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW LADC |
| License Number: | 000655 |
| Business Practice Address: | 675 Tower Ave Suite 301 Hartford, CT - 061121273 |
| Business Phone Number: | 8607142750 |
| Business Fax Number: | |
| Mailing Address: | 675 Tower Ave, Suite 301 HARTFORD |
| State: | CT |
| Postal Code: | 061121273 |
| Phone Number: | 8607142750 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 12/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 000655 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |