Lucibello, Andrea Domenica

Lucibello, Andrea Domenica is an individual health care provider with primary practice located at 20 York St , New Haven CT 06504-8900. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lucibello, Andrea Domenica can be contacted via phone (203) 688-9142.

Contact Information

Primary practice address
20 York St New Haven CT 06504-8900
Phone: (203) 688-9142
Fax: (203) 688-3596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 002535 Connecticut

Profile Details

NPI number 1134167174
LBN Legal business name Lucibello, Andrea Domenica
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Nov 3rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers