| Alexandra Gozzola, | |
|
8 W Main St, Niantic, CT 06357-2303 | |
| (860) 451-9364 | |
| Not Available |
| Full Name | Alexandra Gozzola |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 8 W Main St, Niantic, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295383370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 003690 (Connecticut) | Primary |
| Entity Name | United Community And Family Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467482539 PECOS PAC ID: 9032012497 Enrollment ID: O20040202000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Gozzola, 128 Flanders Rd, Niantic, CT 06357-1527 Ph: () - | Alexandra Gozzola, 8 W Main St, Niantic, CT 06357-2303 Ph: (860) 451-9364 |
Julie Alyce Yale, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St Ste 2-9, Niantic, CT 06357 Phone: 860-304-6073 | |
Mrs. Kathleen D Ross, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St Ste 2-9, Niantic, CT 06357 Phone: 860-378-4996 | |
Ms. Carrie Malarkey, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St, Niantic, CT 06357 Phone: 860-850-0477 | |
Brittany Dolce, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 Corey Ln, Niantic, CT 06357 Phone: 860-884-0776 | |
Irinel Fishlock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St Ste 3-14, Niantic, CT 06357 Phone: 860-451-9364 | |
Renee Elizabeth Agnes Triller, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St Ste 3-15, Niantic, CT 06357 Phone: 860-316-4428 |