NPI 1467649459

Demetrios Kostas, LCSW LLC

Organisation Clinical Social Worker Wallingford, CT

Practice location

Address: 185 Center St. Wallingford Psychotherapy Group, LLC, Wallingford, CT 06492
Phone: (203) 265-4580

Authorised official

Name: Demetrios Kostas
Title: Owner
Phone: (203) 265-4580

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 005822 (CT)

Other Social Worker providers in Connecticut →

Registry record

NPI: 1467649459
Entity type: Organization
NPI issued: 3 Oct 2007
Record last updated: 3 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.