Healthcare Provider Details

I. General information

NPI: 1528155033
Provider Name (Legal Business Name): DARIA MARIE PAMPALONI MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 03/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 BOSTON POST RD
WEST HAVEN CT
06516-2043
US

IV. Provider business mailing address

114 BOSTON POST ROAD
WEST HAVEN CT
06516
US

V. Phone/Fax

Practice location:
  • Phone: 203-931-4043
  • Fax:
Mailing address:
  • Phone: 203-479-8008
  • Fax: 203-479-8001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: