Provider Demographics
NPI:1215032875
Name:BADINI, ANNA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:M
Last Name:BADINI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COUSINS RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-3431
Mailing Address - Country:US
Mailing Address - Phone:203-329-9556
Mailing Address - Fax:203-329-9072
Practice Address - Street 1:3 COUSINS RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-3431
Practice Address - Country:US
Practice Address - Phone:203-329-9556
Practice Address - Fax:203-329-9072
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001555101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health