Individual
MRS. AIESHA PHELMETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
395 N MAIN ST, BRISTOL, CT 06010-4924
(860) 585-5000
Mailing address
120 HALLOCK AVE, NEW HAVEN, CT 06519-2738
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2801
CT
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222562827
—
CT
Enumeration date
06/26/2017
Last updated
03/06/2024
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