Provider Demographics
NPI:1982179909
Name:MUNOZ, MARIA PIA (LMFT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:PIA
Last Name:MUNOZ
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 1:23 HARDING AVE
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-1920
Mailing Address - Country:US
Mailing Address - Phone:860-384-0974
Mailing Address - Fax:
Practice Address - Street 1:23 HARDING AVE
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-1920
Practice Address - Country:US
Practice Address - Phone:860-384-0974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-05
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2160106H00000X
CT2716106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty