| Mr Peter W Derosa, LPC | |
|
20 Maple Ave, Uncasville, CT 06382-2345 | |
| (860) 848-3098 | |
| (860) 848-1152 |
| Full Name | Mr Peter W Derosa |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 20 Maple Ave, Uncasville, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881924652 | NPI | - | NPPES |
| 060966963 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 976 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Peter W Derosa, LPC 20 Maple Ave, Uncasville, CT 06382-2345 Ph: (860) 848-3098 | Mr Peter W Derosa, LPC 20 Maple Ave, Uncasville, CT 06382-2345 Ph: (860) 848-3098 |
Ms. Angela M Massiello, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 192 Maple Ave, Uncasville, CT 06382 Phone: 860-215-1020 | |
Jenna Pluard, LCSW, CCTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 526 Fitch Hill Rd, Uncasville, CT 06382 Phone: 609-389-9099 | |
Jeffrey Slocum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 262 Route 163 Apt 2, Uncasville, CT 06382 Phone: 860-447-1717 | |
Debra Abbey, NCC LPC ADHD-CCSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Gay Hill Rd, Uncasville, CT 06382 Phone: 860-256-4448 |