Active NPIIndividual providerSole proprietor

Katherine A Destefano

Psychiatry & Neurology, Neurology in North Haven, Connecticut

NPI Number1639495559
Practice location
6 Devine St, Suite 2B, North Haven, CT 06473-2195
Fax
203-287-6101
Last updated
December 3, 2015

Katherine Anne Destefano is a Psychiatry & Neurology, Neurology based in North Haven, CT. Katherine Anne Destefano practices in North Haven, CT. The NPI Number for Katherine Anne Destefano is 1639495559 and holds a License No. 53818 (CT). The current practice location address for Katherine Anne Destefano is 6 Devine St, Suite 2B, North Haven, CT 06473-2195 and can be reached out via phone at 203-287-6100 and via fax at 203-287-6101.

Provider Profile Details

NPI Number
1639495559
Provider Name
Katherine Anne Destefano
Provider Entity Type
Individual
Gender
Female
Address
6 Devine St, Suite 2B, North Haven, CT 06473-2195
Phone Number
203-287-6100
Fax Number
203-287-6101
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
Yes
Provider Enumeration Date
April 16, 2010
Last Update Date
December 3, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Devine St
Suite 2B
North Haven, CT 06473-2195
Zip
06473-2195
Phone Number
203-287-6100
Fax Number
203-287-6101
North Haven, CT 06473Get directions →

Provider Business Mailing Address Details

Address
6 Devine St
Suite 2B
North Haven, CT 06473-2195
City
North Haven
State
CT
Zip
06473-2195
Phone Number
203-287-6100
Fax Number
203-287-6101

License Information

License Number
53818
License State
CT
Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X · 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 Katherine A Destefano?

The NPI number of Katherine A Destefano is 1639495559. It was assigned on April 16, 2010 and is currently active in the NPPES registry.

What is the specialty of Katherine A Destefano?

Katherine A Destefano is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in CT under license number 53818.

Where does Katherine A Destefano practice?

The practice location is 6 Devine St, Suite 2B, North Haven, CT 06473-2195. The office can be reached at 203-287-6100 (phone) or 203-287-6101 (fax).

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 1639495559 directly on the NPPES registry website.

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