| Laura Deangelo | |
|
1 Grist Mill Ln Simsbury CT 06070-2485 | |
| (860) 966-6786 | |
| Not Available |
| Full Name | Laura Deangelo |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 Grist Mill Ln, Simsbury, Connecticut |
| Authorized Official Name and Position | Laura Barbuto Deangelo (MANAGING MEMBER) |
| Authorized Official Contact | 8609666786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Deangelo 112 Old Canal Way Weatogue CT 06089-9688 Ph: (860) 966-6786 | Laura Deangelo 1 Grist Mill Ln Simsbury CT 06070-2485 Ph: (860) 966-6786 |
| NPI Number | 1265950935 |
|---|---|
| Provider Enumeration Date | 09/01/2017 |
| Last Update Date | 09/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265950935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 9517 (Connecticut) | Primary |
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