Dr Edith Petrello Heath, PHD is a
Psychologist - Clinical based in Norfolk, Connecticut. Dr Edith Petrello Heath is licensed to practice in Connecticut (license number 738) and her current practice location is
400 North Street, Norfolk, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 542-6941.
NPI number for Dr Edith Petrello Heath is 1275629099 and her current mailing address is 400 North Street, Po Box 562, Norfolk, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275629099.
Healthcare Provider's Profile
| Full Name | Dr Edith Petrello Heath |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 400 North Street, Norfolk, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275629099
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Edith Petrello Heath such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275629099 | NPI | - | NPPES |
| 307568 | Other | CT | MHN |
| 060000738CT02 | Other | CT | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 738 (Connecticut) | 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. Dr Edith Petrello Heath 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 |
|---|
Dr Edith Petrello Heath, PHD
400 North Street, Po Box 562,
Norfolk, CT 06058-0562
Ph: (860) 542-6941 | Dr Edith Petrello Heath, PHD
400 North Street,
Norfolk, CT 06058-0562
Ph: (860) 542-6941 |
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