Provider Demographics
NPI:1578812558
Name:RIES, APRIL M (MS STUDENT)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:M
Last Name:RIES
Suffix:
Gender:F
Credentials:MS STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BRADLEY RD
Mailing Address - Street 2:SUITE 905
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-2285
Mailing Address - Country:US
Mailing Address - Phone:203-695-2893
Mailing Address - Fax:
Practice Address - Street 1:85 WILLOW STREET
Practice Address - Street 2:EAGLE BUILDING, 3RD FL, SUITE 2
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-2696
Practice Address - Country:US
Practice Address - Phone:646-902-4357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3881103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical