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Dr. Lisa Gauthier Miceli, PHD
Psychologist in New London, Connecticut
NPI 1497812457

Lisa Gauthier Miceli is a Psychologist based in New London, CT. Lisa Gauthier Miceli practices in New London, CT and has the professional credentials of PHD. The NPI Number for Lisa Gauthier Miceli is 1497812457 and holds a License No. 002284 (Connecticut).

The current practice location address for Lisa Gauthier Miceli is 400 Bayonet St Ste 304, New London, CT and can be reached out via phone at 860-443-7505 and via fax at 860-444-8895. You can also correspond with Lisa Gauthier Miceli through the mailing address at 100 GLENWOOD AVE, NEW LONDON, CT - 06320-4350 (mailing address contact number: 860-444-7322).

Location: 400 Bayonet St Ste 304, New London, CT, 06320-4350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497812457
Provider Name
Lisa Gauthier Miceli
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
400 Bayonet St Ste 304, New London, CT, 06320-4350
Phone Number
860-443-7505
Fax Number
860-444-8895
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060002284CT02 01 CT ANTHEM BEHAVIORAL HEALTH
304903 01 CT MHN
004243713 05 CT
institution
Provider Business Practice Location Address Details
Address
400 Bayonet St Ste 304
City
New London
State
Connecticut
Zip
06320-2600
Phone Number
860-443-7505
Fax Number
860-444-8895
person
Provider Business Mailing Address Details
Address
400 Bayonet St Ste 304
City
New London
State
Connecticut
Zip
06320-2600
Phone Number
860-443-7505
Fax Number
860-444-8895
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
002284 (Connecticut)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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