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Organization

IMPACT HEALTH P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE MALERBA (AUTHORIZED OFFICIAL)
(203) 988-0776
Entity
Organization

Contact information

Practice address
240 INDIAN RIVER RD STE C7, ORANGE, CT 06477-3691
(203) 497-3861
Mailing address
240 INDIAN RIVER RD STE C7, ORANGE, CT 06477-3691
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
207R00000X
Internal Medicine Physician
CT
207R00000X
Internal Medicine Physician
251J00000X
Nursing Care Agency
363L00000X
Nurse Practitioner
Primary
CT
363L00000X
Nurse Practitioner
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
12/05/2017
Last updated
04/03/2026
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