Doctor Name: | MONA THAPA |
NPI Number: | 1790091627 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 053193 |
Business Practice Address: | 1 Long Wharf Dr Ste 321 New Haven, CT - 065115991 |
Business Phone Number: | 2037814600 |
Business Fax Number: | 2037814624 |
Mailing Address: | 1 Long Wharf Dr, Ste 321 NEW HAVEN |
State: | CT |
Postal Code: | 065115991 |
Phone Number: | 2037814600 |
Fax Number: | 2037814624 |
NPI Enumeration Date: | 08/30/2010 |
NPI Last Update Date: | 10/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 053193 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |