Provider Demographics
NPI:1588714323
Name:FILIPPOPOULOS, GALANI NELLIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:GALANI
Middle Name:NELLIE
Last Name:FILIPPOPOULOS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:NELLIE
Other - Middle Name:
Other - Last Name:FILIPPOPOULOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:18 NORTH MAIN STREET, THIRD FLOOR
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107
Mailing Address - Country:US
Mailing Address - Phone:860-561-1662
Mailing Address - Fax:860-561-1723
Practice Address - Street 1:18 N MAIN ST
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1970
Practice Address - Country:US
Practice Address - Phone:860-561-1662
Practice Address - Fax:860-561-1723
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002692103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical