Provider Demographics
NPI:1255570586
Name:HARTIGAN, MAURICE (LPC)
Entity type:Individual
Prefix:
First Name:MAURICE
Middle Name:
Last Name:HARTIGAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 YORK ST APT 10G
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5633
Mailing Address - Country:US
Mailing Address - Phone:203-376-9626
Mailing Address - Fax:
Practice Address - Street 1:100 YORK ST APT 10G
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5633
Practice Address - Country:US
Practice Address - Phone:203-376-9626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001674101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional