Provider Demographics
NPI:1174020952
Name:NATALE, MINDY ANN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MINDY
Middle Name:ANN
Last Name:NATALE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WINTHROP WOODS RD
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-5025
Mailing Address - Country:US
Mailing Address - Phone:203-305-8557
Mailing Address - Fax:
Practice Address - Street 1:525 BRIDGEPORT AVE UNIT 100
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-4700
Practice Address - Country:US
Practice Address - Phone:203-305-8557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-09
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001154106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist