Individual
DR. LOUIS JOSEPH DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
203 WAKELEE AVE, ANSONIA, CT 06401-1234
(203) 735-7481
Mailing address
205 WAKELEE AVE, ANSONIA, CT 06401-1234
(203) 735-7481
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01097
CT
Other
Enumeration date
08/03/2006
Last updated
12/19/2012
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