MEDICARE: DR. NATALIE ROSE STARLING PHD

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	103T00000X	Psychologist	003765	CT
2	103K00000X	Behavior Analyst	262	CT
3	103TS0200X	School Psychologist	C062016002529	CT

General Provider Information

NPI Number	:	1942861463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIE ROSE STARLING PHD

Provider Business Mailing Address
First Line	:	PO BOX 71
Second Line	:
City	:	SOUTHBURY
State	:	CT
Zip	:	06488-0071
Country	:	US
Telephone Number	:	860-336-9910
Fax Number	:

Provider Business Practice Location Address
First Line	:	76 WESTBURY PARK RD STE 306E
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-2779
Country	:	US
Telephone Number	:	860-336-9910
Fax Number	:

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

Provider Enumeration Date	:	06/25/2019
Last Update Date	:	06/26/2024

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