Provider Demographics
NPI:1760547558
Name:BALDYGA, JUNE ELIZABETH (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:JUNE
Middle Name:ELIZABETH
Last Name:BALDYGA
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 GERMANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CO
Mailing Address - Zip Code:06810-5023
Mailing Address - Country:US
Mailing Address - Phone:203-792-4611
Mailing Address - Fax:203-790-0010
Practice Address - Street 1:20 GERMANTOWN RD
Practice Address - Street 2:JUNE BLADYGA
Practice Address - City:DANBURY
Practice Address - State:CO
Practice Address - Zip Code:06810-5023
Practice Address - Country:US
Practice Address - Phone:203-792-4611
Practice Address - Fax:203-790-0010
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT002287LCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical