| Maria Guglielmino, Psy.d., Llc | |
|
40 Main St N Suite 2-f Woodbury CT 06798-2966 | |
| (203) 266-9253 | |
| Not Available |
| Full Name | Maria Guglielmino, Psy.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 40 Main St N, Woodbury, Connecticut |
| Authorized Official Name and Position | Maria J. Guglielmino (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2032669253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Guglielmino, Psy.d., Llc P. O. Box 39 Woodbury CT 06798 Ph: (203) 266-9253 | Maria Guglielmino, Psy.d., Llc 40 Main St N Suite 2-f Woodbury CT 06798-2966 Ph: (203) 266-9253 |
| NPI Number | 1821394925 |
|---|---|
| Provider Enumeration Date | 02/07/2011 |
| Last Update Date | 02/07/2011 |
| Medicare PECOS PAC ID | 5890059323 |
|---|---|
| Medicare Enrollment ID | O20180508002003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821394925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 002622 (Connecticut) | Primary |
| Provider Name | Maria J. Guglielmino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013978881 PECOS PAC ID: 7618230046 Enrollment ID: I20180417000393 |
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