Dr Lisa Gauthier Miceli, PHD in New London, CT

Dr Lisa Gauthier Miceli, PHD is a Psychologist based in New London, Connecticut. Dr Lisa Gauthier Miceli is licensed to practice in Connecticut (license number 002284) and her current practice location is 400 Bayonet St Ste 304, New London, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 443-7505.

NPI number for Dr Lisa Gauthier Miceli is 1497812457 and her current mailing address is 100 Glenwood Ave, New London, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497812457.

Contact Information

	Dr Lisa Gauthier Miceli, PHD
	400 Bayonet St Ste 304, New London, CT 06320-2600
	(860) 443-7505
	(860) 444-8895

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lisa Gauthier Miceli
Gender	Female
Speciality	Psychologist
Location	400 Bayonet St Ste 304, New London, Connecticut
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1497812457
Provider Enumeration Date: 01/02/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Lisa Gauthier Miceli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497812457	NPI	-	NPPES
060002284CT02	Other	CT	ANTHEM BEHAVIORAL HEALTH
304903	Other	CT	MHN
004243713	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	002284 (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 Lisa Gauthier Miceli 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 Lisa Gauthier Miceli, PHD 100 Glenwood Ave, New London, CT 06320-4350 Ph: (860) 444-7322	Dr Lisa Gauthier Miceli, PHD 400 Bayonet St Ste 304, New London, CT 06320-2600 Ph: (860) 443-7505

Reviews and Comments

Psychologist in New London, CT

Dr. Kevin J O'reilly, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Bayonet St., Suite 202, New London, CT 06320 Phone: 860-443-4163 Fax: 860-437-3926
Dr. Janet Dee Spoltore, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 270 Mohegan Ave, New London, CT 06320 Phone: 860-439-2692 Fax: 860-439-2317
Lynda B Smith, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 24 Channing Street, New London, CT 06320 Phone: 860-389-2668 Fax: 860-437-2153
Daria Papalia, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Us Coast Guard Academy; Michel Hall, 15 Mohegan Avenue, New London, CT 06320 Phone: 860-444-8520
Dr. Terrlyn L Curry Avery, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Bayonet St, Suite 304, New London, CT 06320 Phone: 860-443-7505 Fax: 860-444-8895
Dr. Samantha Joan Giangrande, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711

Dr Lisa Gauthier Miceli, PHD - Psychologist in New London, CT