Active NPIIndividual providerSole proprietor

Dr. Joanne M Lertora, PHD

Psychologist in Suffield, Connecticut

NPI Number1154402899
Practice location
133 Mountain RD, Suffield, CT 06078-2084
Fax
—
Last updated
May 28, 2020

Joanne M Lertora is a Psychologist based in Suffield, CT. Joanne M Lertora practices in Suffield, CT and has the professional credentials of PHD. The NPI Number for Joanne M Lertora is 1154402899 and holds a License No. CT 1626 (CT). The current practice location address for Joanne M Lertora is 133 Mountain RD, Suffield, CT 06078-2084 and can be reached out via phone at 860-644-0651.

Provider Profile Details

NPI Number
1154402899
Provider Name
Joanne M Lertora
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
133 Mountain RD, Suffield, CT 06078-2084
Phone Number
860-644-0651
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 18, 2006
Last Update Date
May 28, 2020
Certification Date
May 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
133 Mountain RD
Suffield, CT 06078-2084
Zip
06078-2084
Phone Number
860-644-0651
Suffield, CT 06078Get directions →

Provider Business Mailing Address Details

Address
Po Box 374
Suffield, CT 06078-0374
City
Suffield
State
CT
Zip
06078-0374
Phone Number
860-644-0651

License Information

License Number
CT 1626
License State
CT
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Joanne M Lertora, PHD?

The NPI number of Dr. Joanne M Lertora, PHD is 1154402899. It was assigned on October 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Joanne M Lertora, PHD?

Dr. Joanne M Lertora, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CT under license number CT 1626.

Where does Dr. Joanne M Lertora, PHD practice?

The practice location is 133 Mountain RD, Suffield, CT 06078-2084. The office can be reached at 860-644-0651 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154402899 directly on the NPPES registry website.

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