Doctor Name: | MR. JOSEPH ARTHUR DEANGELIS |
NPI Number: | 1932355948 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | 1026 |
Business Practice Address: | 645 N Main St Danielson, CT - 062392108 |
Business Phone Number: | 4014394925 |
Business Fax Number: | |
Mailing Address: | 261 Valley View Rd, STERLING |
State: | CT |
Postal Code: | 063771522 |
Phone Number: | 4014394925 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2008 |
NPI Last Update Date: | 01/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |