Individual
ILMA E DEIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 COPPOLA TER, DERBY, CT 06418-1103
(203) 814-9985
Mailing address
73 COPPOLA TER, DERBY, CT 06418-1103
(203) 814-9985
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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