Provider Demographics
NPI:1922260306
Name:ADAMS, RAGNE (M A)
Entity Type:Individual
Prefix:MS
First Name:RAGNE
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:M A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 EDWARDS ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-7313
Mailing Address - Country:US
Mailing Address - Phone:203-624-2146
Mailing Address - Fax:
Practice Address - Street 1:19 EDWARDS ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-7313
Practice Address - Country:US
Practice Address - Phone:203-624-2146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist