Active NPIIndividual provider

Mr. Peter W Derosa, LPC

Counselor, Professional in Uncasville, Connecticut

NPI Number1881924652
Practice location
20 Maple Ave, Uncasville, CT 06382-2345
Fax
860-848-1152
Last updated
December 30, 2009

Peter W. Derosa is a Counselor, Professional based in Uncasville, CT. Peter W. Derosa practices in Uncasville, CT and has the professional credentials of LPC. The NPI Number for Peter W. Derosa is 1881924652 and holds a License No. 976 (CT). The current practice location address for Peter W. Derosa is 20 Maple Ave, Uncasville, CT 06382-2345 and can be reached out via phone at 860-848-3098 and via fax at 860-848-1152.

Provider Profile Details

NPI Number
1881924652
Provider Name
Peter W. Derosa
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
20 Maple Ave, Uncasville, CT 06382-2345
Phone Number
860-848-3098
Fax Number
860-848-1152
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
December 30, 2009
Last Update Date
December 30, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Maple Ave
Uncasville, CT 06382-2345
Zip
06382-2345
Phone Number
860-848-3098
Fax Number
860-848-1152
Uncasville, CT 06382Get directions →

Provider Business Mailing Address Details

Address
20 Maple Ave
Uncasville, CT 06382-2345
City
Uncasville
State
CT
Zip
06382-2345
Phone Number
860-848-3098
Fax Number
860-848-1152

License Information

License Number
976
License State
CT
Taxonomy
Counselor, Professional · 101YP2500X · 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 Mr. Peter W Derosa, LPC?

The NPI number of Mr. Peter W Derosa, LPC is 1881924652. It was assigned on December 30, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Peter W Derosa, LPC?

Mr. Peter W Derosa, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 976.

Where does Mr. Peter W Derosa, LPC practice?

The practice location is 20 Maple Ave, Uncasville, CT 06382-2345. The office can be reached at 860-848-3098 (phone) or 860-848-1152 (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 1881924652 directly on the NPPES registry website.

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