| Cori Capuano, Pllc | |
|
34 Tupelo Pl Middletown CT 06457-2039 | |
| (860) 967-4338 | |
| Not Available |
| Full Name | Cori Capuano, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 34 Tupelo Pl, Middletown, Connecticut |
| Authorized Official Name and Position | Cori Capuano (CLINICIAN/FOUNDER) |
| Authorized Official Contact | 8609674338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cori Capuano, Pllc 34 Tupelo Pl Middletown CT 06457-2039 Ph: (860) 967-4338 | Cori Capuano, Pllc 34 Tupelo Pl Middletown CT 06457-2039 Ph: (860) 967-4338 |
| NPI Number | 1548935232 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 08/13/2021 |
| Certification Date | 07/16/2021 |
| Medicare PECOS PAC ID | 9638513211 |
|---|---|
| Medicare Enrollment ID | O20240222001758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548935232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Cori Capuano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407272107 PECOS PAC ID: 0547604126 Enrollment ID: I20240222001899 |
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