1477632461 NPI number — MR. MICHAEL DAVID ABRANOWITZ MA LMFT

Table of content: MR. MICHAEL DAVID ABRANOWITZ MA LMFT (NPI 1477632461)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477632461 NPI number — MR. MICHAEL DAVID ABRANOWITZ MA LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ABRANOWITZ
Provider First Name:
MICHAEL
Provider Middle Name:
DAVID
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MA LMFT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477632461
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
61 COLONY ST
Provider Second Line Business Mailing Address:
CATHOLIC CHARITIES
Provider Business Mailing Address City Name:
MERIDEN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06451
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-235-2507
Provider Business Mailing Address Fax Number:
203-639-6509

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
61 COLONY ST
Provider Second Line Business Practice Location Address:
CATHOLIC CHARITIES
Provider Business Practice Location Address City Name:
MERIDEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-235-2507
Provider Business Practice Location Address Fax Number:
203-639-6509
Provider Enumeration Date:
11/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  001021 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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