Dr. Perry A Staltaro
Psychologist Family Psychologist Clinical Psychologist Forensic Psychologist and 4 more
96 Connecticut Blvd
East Hartford
, Connecticut 06108-3013
Dr. Perry A Staltaro
Psychologist Family Psychologist Clinical Psychologist Forensic Psychologist and 4 more
96 Connecticut Blvd
East Hartford
, Connecticut 06108-3013
(860) 513-4828
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About
Features
Specialties
- Clinical Psychologist
- Psychologist
- Clinical Child & Adolescent Psychologist
- Family Psychologist
- Forensic Psychologist
- Intellectual & Developmental Disabilities
- Group Psychotherapist
Languages spoken
- English
Location
First Address
- Dr. Perry A Staltaro
- 96 Connecticut Blvd
- East Hartford, CT
- Zip : 06108-3013
- Fax : (860) 513-4828
- Phone : (860) 502-4908
Second Address
- Dr. Perry A Staltaro
- 96 Connecticut Blvd
- East Hartford, CT
- Zip : 06108-3013
- Fax : (860) 513-4828
- Phone : (860) 502-4908
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 2734 | CT |
| Y | 103TC0700X | Clinical Psychologist | 2734 | CT |
| N | 102L00000X | Psychologist | 2734 | CT |
| N | 103T00000X | Psychologist | 2734 | CT |
| N | 103G00000X | Clinical Psychologist | 2734 | CT |
| N | 103TC0700X | Clinical Psychologist | 2734 | CT |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 2734 | CT |
| N | 103TF0000X | Family Psychologist | 2734 | CT |
| N | 103TF0200X | Forensic Psychologist | 2734 | CT |
| N | 103TM1800X | Intellectual & Developmental Disabilities | 2734 | CT |
| N | 103TP2701X | Group Psychotherapist | 2734 | CT |
National Provider Identifier
| NPI | 1811982655 |
|---|---|
| Provider Name | Dr. Perry A Staltaro |
| First Address | East Hartford, CT 06108-3013 |
| Second Address | East Hartford, CT 06108-3013 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/09/2005 |
| Last Update Date | 07/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.