Individual
DR. JOANNA CELESTE PROCACCINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., NCSP
Contact information
Practice address
203 BROAD ST, SUITE C4, MILFORD, CT 06460-4751
(203) 850-0140
(888) 783-9125
Mailing address
203 BROAD ST, SUITE C4, MILFORD, CT 06460-4751
(203) 850-0140
(888) 783-9125
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003411
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891058780
—
CT
Enumeration date
06/17/2012
Last updated
05/29/2015
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