Doctor Name: | DR. NORAH M LUSIGNAN |
NPI Number: | 1821308388 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 001913 |
Business Practice Address: | 230b Mountain Rd Suffield, CT - 060782094 |
Business Phone Number: | 4134545006 |
Business Fax Number: | 8602545816 |
Mailing Address: | 230b Mountain Rd, SUFFIELD |
State: | CT |
Postal Code: | 060782094 |
Phone Number: | 4134545006 |
Fax Number: | 8602545816 |
NPI Enumeration Date: | 10/18/2010 |
NPI Last Update Date: | 10/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001913 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |