Individual
JOHN DELIZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
63 ACORN HILL RD, WOODBRIDGE, CT 06525-1019
(203) 393-1280
(203) 393-1280
Mailing address
P.O. BOX 3771, AMITY STATION, NEW HAVEN, CT 06525-0771
(203) 393-1280
(203) 393-1280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002855
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140002855CT01
ANTHEM
CT
Enumeration date
02/14/2007
Last updated
07/08/2007
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