Provider Demographics
NPI:1235159740
Name:COMUNALE, ANTHONY S (EDD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:S
Last Name:COMUNALE
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 MAIN STREET NORTH
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488
Mailing Address - Country:US
Mailing Address - Phone:203-264-1121
Mailing Address - Fax:203-264-3576
Practice Address - Street 1:77 MAIN STREET NO.
Practice Address - Street 2:SUITE 206
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488
Practice Address - Country:US
Practice Address - Phone:203-264-1121
Practice Address - Fax:203-264-3576
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000879103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical