Individual
DR. JOHN ALEXANDER PAGNANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
32 HUNGERFORD RD, COLCHESTER, CT 06415-5234
(860) 334-0930
Mailing address
32 HUNGERFORD RD, COLCHESTER, CT 06415-5234
(860) 334-0930
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001728
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
IN THE PROCESS OF REGISTERING AS A MEDICAID PROVIDER
CT
Enumeration date
07/09/2013
Last updated
07/09/2013
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