Healthcare Provider Details

I. General information

NPI: 1669397592
Provider Name (Legal Business Name): JOSEFA ELIZABETH CORREA DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 PRINCETON ST
HARTFORD CT
06106-4253
US

IV. Provider business mailing address

231 PRINCETON ST
HARTFORD CT
06106-4253
US

V. Phone/Fax

Practice location:
  • Phone: 860-944-0990
  • Fax: 860-944-0990
Mailing address:
  • Phone: 860-944-0990
  • Fax: 860-944-0990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number84
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: