Stephanie Katherine Thibodeau, is a
Counselor - Mental Health based in Yantic, Connecticut. Stephanie Katherine Thibodeau is licensed to practice in * (Not Available) (license number ) and her current practice location is
63 Sunnyside St, Yantic, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 984-3579.
NPI number for Stephanie Katherine Thibodeau is 1164040911 and her current mailing address is 63 Sunnyside St, Yantic, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164040911.
Healthcare Provider's Profile
Full Name | Stephanie Katherine Thibodeau |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 63 Sunnyside St, Yantic, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164040911
- Provider Enumeration Date: 07/08/2020
- Last Update Date: 07/08/2020
Medical Identifiers
Medical identifiers for Stephanie Katherine Thibodeau such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164040911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Katherine Thibodeau is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie Katherine Thibodeau, 63 Sunnyside St, Yantic, CT 06389-1010 Ph: (860) 984-3579 | Stephanie Katherine Thibodeau, 63 Sunnyside St, Yantic, CT 06389-1010 Ph: (860) 984-3579 |
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