TERRY ROTH PERREAULT LPC NPI 1851468383

NPI Information

NPI: 1851468383
Provider Name: TERRY ROTH PERREAULT, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
33 HIGHLAND ST
NEW BRITAIN, CT
ZIP 06052
Phone: (860) 224-9985
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Terry Roth Perreault, LPC is a professional counselor in New Britain, CT. Terry Roth Perreault, LPC NPI is 1851468383. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

33 HIGHLAND ST
NEW BRITAIN, CT
ZIP 06052-013
Phone: (860) 224-9985
Fax: (860) 826-4995

The enumeration date for this NPI number is 11/29/2006 and was last updated on 6/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	PC0000327	DELAWARE	No
2	101YP2500X	Counselor	Professional	001640	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1000035004	MEDICAID	DELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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