Provider Demographics
NPI:1790032597
Name:DELEO, LORI J (LMFT)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:J
Last Name:DELEO
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 1:133 STATE ST
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2471
Mailing Address - Country:US
Mailing Address - Phone:203-910-4596
Mailing Address - Fax:
Practice Address - Street 1:133 STATE ST STE 3
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2471
Practice Address - Country:US
Practice Address - Phone:203-910-4596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-10
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1517106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist