Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 001642 | CT |
N | 103TS0200X | School Psychologist | 001642 | CT |
NPI | 1003148099 |
---|---|
Provider Name | Dr. Joyce Cerejo Day |
First Address | Southington, CT 06489-4370 |
Second Address | Southington, CT 06489-4370 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2010 |
Last Update Date | 09/03/2012 |