Mrs Stacia Lynne Diloreto, LMFT | |
384 Merrow Rd Ste D, Tolland, CT 06084-3957 | |
(860) 796-8003 | |
Not Available |
Full Name | Mrs Stacia Lynne Diloreto |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 384 Merrow Rd Ste D, Tolland, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265539258 | NPI | - | NPPES |
004249175 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 000978 (Connecticut) | Primary |
Entity Name | Charter Oak Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992750855 PECOS PAC ID: 3870401078 Enrollment ID: O20040220000909 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stacia Lynne Diloreto, LMFT Po Box 1081, Manchester, CT 06045-1081 Ph: (860) 796-8003 | Mrs Stacia Lynne Diloreto, LMFT 384 Merrow Rd Ste D, Tolland, CT 06084-3957 Ph: (860) 796-8003 |
Morgan North, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 392 Merrow Rd Ste E, Tolland, CT 06084 Phone: 860-830-7838 | |
Mrs. Wendy J Petzel, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 384 Merrow Rd Ste Y, Tolland, CT 06084 Phone: 860-796-1007 Fax: 860-875-7214 | |
Sara Reed, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 392 Merrow Rd Ste E, Tolland, CT 06084 Phone: 860-830-7838 | |
Mrs. Laura Badecker, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 46 Eaton Rd, Tolland, CT 06084 Phone: 860-965-1046 | |
Geena Lovallo, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 392 Merrow Rd Ste E, Tolland, CT 06084 Phone: 860-830-7838 Fax: 860-454-0667 | |
Donna Brice, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 392 Merrow Rd, Tolland, CT 06084 Phone: 860-830-7838 |