Healthcare Provider Details

I. General information

NPI: 1952248940
Provider Name (Legal Business Name): JULIA C PETTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 WADSWORTH ST
HARTFORD CT
06106-7108
US

IV. Provider business mailing address

86 OLD COLONY RD
WATERTOWN CT
06795-3060
US

V. Phone/Fax

Practice location:
  • Phone: 860-527-1124
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: