| Dr Lisa Gauthier Miceli, PHD | |
|
400 Bayonet St Ste 304, New London, CT 06320-2600 | |
| (860) 443-7505 | |
| (860) 444-8895 |
| Full Name | Dr Lisa Gauthier Miceli |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 400 Bayonet St Ste 304, New London, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497812457 | NPI | - | NPPES |
| 060002284CT02 | Other | CT | ANTHEM BEHAVIORAL HEALTH |
| 304903 | Other | CT | MHN |
| 004243713 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 002284 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Gauthier Miceli, PHD 100 Glenwood Ave, New London, CT 06320-4350 Ph: (860) 444-7322 | Dr Lisa Gauthier Miceli, PHD 400 Bayonet St Ste 304, New London, CT 06320-2600 Ph: (860) 443-7505 |
Dr. Kevin J O'reilly, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Bayonet St., Suite 202, New London, CT 06320 Phone: 860-443-4163 Fax: 860-437-3926 | |
Dr. Janet Dee Spoltore, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 270 Mohegan Ave, New London, CT 06320 Phone: 860-439-2692 Fax: 860-439-2317 | |
Lynda B Smith, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 24 Channing St, New London, CT 06320 Phone: 860-442-3380 Fax: 860-437-2153 | |
Daria Papalia, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Us Coast Guard Academy; Michel Hall, 15 Mohegan Avenue, New London, CT 06320 Phone: 860-444-8520 | |
Dr. Terrlyn L Curry Avery, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Bayonet St, Suite 304, New London, CT 06320 Phone: 860-443-7505 Fax: 860-444-8895 | |
Pamela Julien, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Bayonet St, Suite 304, New London, CT 06320 Phone: 860-443-7505 Fax: 860-444-8895 |