| Emi Fukuda, | |
|
731 Main St Ste 122, Monroe, CT 06468-2872 | |
| (203) 261-7090 | |
| Not Available |
| Full Name | Emi Fukuda |
|---|---|
| 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 |
|---|---|
| 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 |