Courtney Sutton Barber Devine, LPC
Individual provider Active NPI Counselor · Meriden, CT
NPI 1285754754 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285754754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 883 Paddock Ave
Meriden, CT 06450-7044 - Phone
- (203) 630-5305
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
883 Paddock Ave
Meriden, CT 06450-7044
Mailing address
883 Paddock Ave
Meriden, CT 06450-7044
Phone (203) 630-5305
Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.