| Mr Edward Vegliante, LMFT | |
|
228 Meadow St, Waterbury, CT 06702-1807 | |
| (203) 597-0643 | |
| (203) 597-0834 |
| Full Name | Mr Edward Vegliante |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 228 Meadow St, Waterbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235473000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 33421 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 001541 (Connecticut) | Primary |
| Entity Name | Prospect Ct Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward Vegliante, LMFT 38 Old Ridgebury Rd, Danbury, CT 06810-5128 Ph: (203) 792-4515 | Mr Edward Vegliante, LMFT 228 Meadow St, Waterbury, CT 06702-1807 Ph: (203) 597-0643 |
Myco Foy, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Darian Andre Coleman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Highland Ave Ste 2n, Waterbury, CT 06708 Phone: 203-518-8218 | |
Mardea Zor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Kemar Bailey, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-575-0466 Fax: 203-575-1817 | |
Susan Broadus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 | |
Ms. Shawnday Becerril, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Robbins St, Crisis Center, Waterbury, CT 06708 Phone: 203-573-6500 | |
Nina Thomas, COUNSELOR-PEDUCATOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 East Main Street, Morris Foundation, Inc, Waterbury, CT 06702 Phone: 203-755-1143 Fax: 203-755-1447 |