Provider Demographics
NPI:1225899032
Name:ZWALLY, ANAPAULA (LPC)
Entity Type:Individual
Prefix:
First Name:ANAPAULA
Middle Name:
Last Name:ZWALLY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 FLINT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-1238
Mailing Address - Country:US
Mailing Address - Phone:203-913-4301
Mailing Address - Fax:
Practice Address - Street 1:66 FLINT RIDGE RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-1238
Practice Address - Country:US
Practice Address - Phone:203-913-4301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6886101YP2500X
006886101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional