Emi Fukuda, | |
731 Main St Ste 122, Monroe, CT 06468-2872 | |
(203) 261-7090 | |
Not Available |
Full Name | Emi Fukuda |
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Gender | Female |
Speciality | Psychologist - Counseling |
Location | 731 Main St Ste 122, Monroe, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851855910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 003650 (Connecticut) | Primary |
Entity Name | Key Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114393493 PECOS PAC ID: 6204185010 Enrollment ID: O20180827003149 |
Mailing Address | Practice Location Address |
---|---|
Emi Fukuda, 75 Homestead Pl # 1, New Rochelle, NY 10801-4307 Ph: (914) 380-2352 | Emi Fukuda, 731 Main St Ste 122, Monroe, CT 06468-2872 Ph: (203) 261-7090 |
Dr. James Perrone, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23 Wheeler Rd, Monroe, CT 06468 Phone: 203-452-7670 | |
Ashlee Plourde, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 375 Monroe Tpke Ste B, Monroe, CT 06468 Phone: 203-452-2870 | |
Jennifer Berrios Burgos, MA, CAS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 59 Wayne Rd, Monroe, CT 06468 Phone: 203-449-0523 |