Provider Demographics
NPI:1104387091
Name:COSSUTO, MARGARITA M (PHD)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:M
Last Name:COSSUTO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-2018
Mailing Address - Country:US
Mailing Address - Phone:203-451-7880
Mailing Address - Fax:
Practice Address - Street 1:1720 POST RD E STE 223
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5643
Practice Address - Country:US
Practice Address - Phone:203-220-6486
Practice Address - Fax:203-220-6487
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4902103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical