MEDICARE: DENISE STEIN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	001270	CT

General Provider Information

NPI Number	:	1477768349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE STEIN LPC

Provider Business Mailing Address
First Line	:	410 STATE ST
Second Line	:
City	:	NORTH HAVEN
State	:	CT
Zip	:	06473-3147
Country	:	US
Telephone Number	:	203-397-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 STATE ST
Second Line	:
City	:	NORTH HAVEN
State	:	CT
Zip	:	06473-3147
Country	:	US
Telephone Number	:	203-397-5900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2007
Last Update Date	:	07/09/2007

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Directions to “ DENISE STEIN LPC” Practice Location

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