Provider Demographics
NPI:1093060865
Name:SCATAGLINI, VICTORIA (MSED LPC)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:SCATAGLINI
Suffix:
Gender:F
Credentials:MSED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ECHO POND RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-2856
Mailing Address - Country:US
Mailing Address - Phone:203-392-4846
Mailing Address - Fax:
Practice Address - Street 1:107 CHURCH HILL RD STE 1
Practice Address - Street 2:
Practice Address - City:SANDY HOOK
Practice Address - State:CT
Practice Address - Zip Code:06482-1194
Practice Address - Country:US
Practice Address - Phone:203-270-9888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health