Dr Louis Joseph Destefano, PHD is a
Psychologist - Clinical based in Ansonia, Connecticut. Dr Louis Joseph Destefano is licensed to practice in Connecticut (license number 01097) and his current practice location is
203 Wakelee Ave, Ansonia, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 735-7481.
NPI number for Dr Louis Joseph Destefano is 1891703187 and his current mailing address is 205 Wakelee Ave, Ansonia, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891703187.
Healthcare Provider's Profile
Full Name | Dr Louis Joseph Destefano |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 203 Wakelee Ave, Ansonia, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891703187
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 12/19/2012
Medical Identifiers
Medical identifiers for Dr Louis Joseph Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891703187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 01097 (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 Louis Joseph Destefano 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 Louis Joseph Destefano, PHD 205 Wakelee Ave, Ansonia, CT 06401-1234 Ph: (203) 735-7481 | Dr Louis Joseph Destefano, PHD 203 Wakelee Ave, Ansonia, CT 06401-1234 Ph: (203) 735-7481 |
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