DR. EDITH PETRELLO HEATH


Address: 400 North Street, Norfolk, CT 06058-0562
Phone: 8605426941

DR. EDITH PETRELLO HEATH (NPI# 1275629099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275629099
Entity Type Individual
Full Name DR. EDITH PETRELLO HEATH
Credential PH.D.
Practice Address 400 North Street
Norfolk
CT 06058-0562
Mailing Address 400 North Street
Po Box 562
Norfolk
CT 06058-0562
Practice Telephone 8605426941
Practice Fax Number 8605425096
Mailing Telephone 8605426941
Mailing Fax Number 8605425096
Enumeration Date 2006-10-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
738 CT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT MHN 307568 01
CT ANTHEM 060000738CT02 01

Office Location

Street Address 400 NORTH STREET
City NORFOLK
State CT
Zip Code 06058-0562

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598054710 Eric Walter Johnson Clinical Medical Laboratory 203 Litchfield Road, Norfolk, CT 06058 2011-03-29
1083780092 Judith P Tsukroff Marriage & Family Therapist 58 Greenwoods Rd W, Norfolk, CT 06058-0483 2006-11-28
1013040401 Paul A Gibilisco Internal Medicine 72 Shepard Rd, Norfolk, CT 06058-1125 2007-03-14
1649662388 Edie Hochberg Hofstatter Occupational Therapist 90 Greenwoods Rd W, Norfolk, CT 06058-1249 2015-03-03
1760807754 Sara Heller Counselor 39 Grant St, Norfolk, CT 06058-1327 2014-02-27

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1194325571 Kelly R Powles Physical Therapist 6201 E Virginia Beach Blvd Ste 110, Norfolk, VA 23502-2824 2020-10-27
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1033666409 Adelia Gregoire LLC Psychologist 6126 Studeley Ave, Norfolk, VA 23508-1032 2016-09-02
1053707786 Takeshia Vernice Williams Psychologist 400 Gresham Dr Ste 907, Norfolk, VA 23507-1921 2015-04-09
1992145338 Lisa Anne Mazzio Psychologist 1600 Colonial Ave, Norfolk, VA 23517-2020 2013-06-30
1689975054 Diana Whitney Schofield Psychologist 1307 Hampton Blvd, Norfolk, VA 23517-1709 2010-11-16
1821328550 Janette Marie Mance-khourey Psychologist 321 Duke St Apt 112, Norfolk, VA 23510-1267 2009-12-31
1578708046 David Andrew Mitchell Psychologist 1306 N 13th St Ste 102, Norfolk, NE 68701-2591 2008-12-11
1700075447 Rebecca A Thomas, Psyd & Associates, P.C. Psychologist 838 Granby St, Norfolk, VA 23510-2051 2007-10-18
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Competitor

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City NORFOLK
Zip Code 06058

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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