Doctor Name: | MRS. NIBEDITA PATI |
NPI Number: | 1578602652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 50 Griswold St New Britain, CT - 06050 |
Business Phone Number: | 8602245267 |
Business Fax Number: | 8602245752 |
Mailing Address: | 50 Griswold St, NEW BRITAIN |
State: | CT |
Postal Code: | 060500000 |
Phone Number: | 8602245267 |
Fax Number: | 8602245752 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |