Basic Information
Provider Information
NPI: 1407019367
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VILLARI-LEE
FirstName: ANNE
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 34 MAPLE ST
Address2: DEPARTMENT OF PSYCHIATRY/ NORWALK HOSPITAL
City: NORWALK
State: CT
PostalCode: 068503815
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 34 MAPLE ST
Address2: DEPARTMENT OF PSYCHIATRY/ NORWALK HOSPITAL
City: NORWALK
State: CT
PostalCode: 068503815
CountryCode: US
TelephoneNumber: 2038522000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/09/2008
LastUpdateDate: 12/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XLP01524RIN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800XRT-1961NHN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800X050554CTY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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