Dr. Jodie M Ambrosino, PHD
Psychologist, Clinical Child & Adolescent in New Haven, Connecticut
1669670915- Practice location
- 2 Church St S, Suite 404, New Haven, CT 06519-1717
- Phone
- 203-785-5282
- Fax
- 203-764-6748
- Last updated
- September 26, 2007
Jodie Marie Ambrosino is a Psychologist, Clinical Child & Adolescent based in New Haven, CT. Jodie Marie Ambrosino practices in New Haven, CT and has the professional credentials of PHD. The NPI Number for Jodie Marie Ambrosino is 1669670915 and holds a License No. 002646 (CT). The current practice location address for Jodie Marie Ambrosino is 2 Church St S, Suite 404, New Haven, CT 06519-1717 and can be reached out via phone at 203-785-5282 and via fax at 203-764-6748.
Provider Profile Details
- NPI Number
- 1669670915
- Provider Name
- Jodie Marie Ambrosino
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2 Church St S, Suite 404, New Haven, CT 06519-1717
- Phone Number
- 203-785-5282
- Fax Number
- 203-764-6748
- Primary Taxonomy
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 10, 2007
- Last Update Date
- September 26, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Church St S
Suite 404
New Haven, CT 06519-1717 - City
- New Haven
- State
- Connecticut
- Zip
- 06519-1717
- Phone Number
- 203-785-5282
- Fax Number
- 203-764-6748
Provider Business Mailing Address Details
- Address
- 2 Church St S
Suite 404
New Haven, CT 06519-1717 - City
- New Haven
- State
- CT
- Zip
- 06519-1717
- Phone Number
- 203-785-5282
- Fax Number
- 203-764-6748
License Information
- License Number
- 002646
- License State
- CT
- Taxonomy
- Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Jodie M Ambrosino, PHD?
The NPI number of Dr. Jodie M Ambrosino, PHD is 1669670915. It was assigned on July 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Jodie M Ambrosino, PHD?
Dr. Jodie M Ambrosino, PHD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in CT under license number 002646.
Where does Dr. Jodie M Ambrosino, PHD practice?
The practice location is 2 Church St S, Suite 404, New Haven, CT 06519-1717. The office can be reached at 203-785-5282 (phone) or 203-764-6748 (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 1669670915 directly on the NPPES registry website.