A New Path Counseling, LLC
Organization Active NPI Clinical Psychologist · Canton, CT
NPI 1972995652 · NPPES record last updated Oct 13, 2015
Key facts
- NPI
- 1972995652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- A NEW PATH COUNSELING, LLC
- Practice address
- 50 Albany Tpke
Canton, CT 06019-2516 - Phone
- (860) 480-7393
- NPI assigned
- Mar 4, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Marjorie Vitale, PSY.D.
- Title
- Owner
- Phone
- (860) 480-7393
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
50 Albany Tpke
Canton, CT 06019-2516
Mailing address
102 E Mountain Rd
Canton, CT 06019-2041
Phone (860) 480-7393
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 498792 | Medicaid | CT |
Other providers in Canton, CT
All providers in Canton, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2015. 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.