Provider Demographics
NPI:1437665148
Name:PAPASTEFANIDOU, VASILIKI N/A (MASTER)
Entity Type:Individual
Prefix:
First Name:VASILIKI
Middle Name:N/A
Last Name:PAPASTEFANIDOU
Suffix:
Gender:F
Credentials:MASTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 EAST ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-2342
Mailing Address - Country:US
Mailing Address - Phone:917-671-0128
Mailing Address - Fax:
Practice Address - Street 1:88 EAST ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-2342
Practice Address - Country:US
Practice Address - Phone:917-671-0128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-18
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health