Individual provider · Type 1 NPI
Lisa Gauthier Miceli, PhD
Psychologist · New London, CT
Practice location
400 Bayonet St Ste 304
New London, CT 06320-2600
Fax (860) 444-8895
Mailing address
100 Glenwood Ave
New London, CT 06320-4350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 002284 (CT) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
3 other providers at this address
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About NPI 1497812457
Lisa Gauthier Miceli, PhD's National Provider Identifier is 1497812457, issued on Jan 2, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in New London, CT. The record was last updated on Jul 8, 2007.