MEDICARE: ILARIA FILIPPI MFT

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1609077163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ILARIA FILIPPI MFT

Provider Business Mailing Address
First Line	:	93 EDWARDS ST
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-3933
Country	:	US
Telephone Number	:	203-772-1270
Fax Number	:	203-772-0051

Provider Business Practice Location Address
First Line	:	297 CONCORD ST
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06512-3912
Country	:	US
Telephone Number	:	203-809-2307
Fax Number	:

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

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	07/08/2007

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Directions to “ ILARIA FILIPPI MFT” Practice Location

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