Provider Demographics
NPI:1174633945
Name:RESCIGNO, GEORGINA E (LMFT)
Entity Type:Individual
Prefix:MS
First Name:GEORGINA
Middle Name:E
Last Name:RESCIGNO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:GEORGINA
Other - Middle Name:E
Other - Last Name:SOTTILE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5 KILIAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811
Mailing Address - Country:US
Mailing Address - Phone:203-744-3388
Mailing Address - Fax:
Practice Address - Street 1:5 KILIAN DRIVE
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811
Practice Address - Country:US
Practice Address - Phone:203-744-3388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000985106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
410000985CT01OtherANTHEM BCBS
P3442952OtherOXFORD