Provider Demographics
NPI:1497087662
Name:BESSETTE, JANELLE MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:MARIE
Last Name:BESSETTE
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 1:47 S OLMSTEAD LN
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-5511
Mailing Address - Country:US
Mailing Address - Phone:203-438-4554
Mailing Address - Fax:
Practice Address - Street 1:47 S OLMSTEAD LN
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-5511
Practice Address - Country:US
Practice Address - Phone:203-438-4554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2117103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent