Provider Demographics
NPI:1538316849
Name:GIONFRIDDO, MARIA DENISE (LMFT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DENISE
Last Name:GIONFRIDDO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 LOVELAND HILL RD
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-2304
Mailing Address - Country:US
Mailing Address - Phone:860-707-3303
Mailing Address - Fax:
Practice Address - Street 1:20 LOVELAND HILL RD
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-2304
Practice Address - Country:US
Practice Address - Phone:860-707-3303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CT1431106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist