Provider Demographics
NPI:1578761920
Name:DEL VECCHIO-SCULLY, DEBORAH ANN (NCC, LPC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:DEL VECCHIO-SCULLY
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:DEL VECCHIO-SCULLY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:36 DORRANCE PL
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3310
Mailing Address - Country:US
Mailing Address - Phone:203-988-6769
Mailing Address - Fax:203-248-5755
Practice Address - Street 1:75 KINGS HIGHWAY CUTOFF
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5340
Practice Address - Country:US
Practice Address - Phone:203-331-1133
Practice Address - Fax:203-333-3937
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001565101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional