Individual
DR. PENELOPE GUERRA-COSENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1 TOWNE PARK PLZ, NORWICH, CT 06360-2247
(860) 205-6082
Mailing address
1 TOWNE PARK PLZ STE 3, NORWICH, CT 06360-2247
(860) 205-6082
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002821
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002821CT01
ANTHEM
CT
Enumeration date
11/29/2007
Last updated
03/17/2023
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