Provider Demographics
NPI:1659427508
Name:MUSZYNSKI, RAOUL JOSEPH (MS, LADC, LPC)
Entity Type:Individual
Prefix:MR
First Name:RAOUL
Middle Name:JOSEPH
Last Name:MUSZYNSKI
Suffix:
Gender:M
Credentials:MS, LADC, LPC
Other - Prefix:MR
Other - First Name:RAY
Other - Middle Name:JOSEPH
Other - Last Name:MUSZYNSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LADC, LPC
Mailing Address - Street 1:16 LISA CT APT 8
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06704-1200
Mailing Address - Country:US
Mailing Address - Phone:203-757-9306
Mailing Address - Fax:
Practice Address - Street 1:100 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:CT
Practice Address - Zip Code:06418-1819
Practice Address - Country:US
Practice Address - Phone:203-446-2252
Practice Address - Fax:203-446-2262
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000232101YA0400X
CT000879101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional