Provider Demographics
NPI:1811969777
Name:PATLIKH, ASHA (MS MFT)
Entity type:Individual
Prefix:MRS
First Name:ASHA
Middle Name:
Last Name:PATLIKH
Suffix:
Gender:F
Credentials:MS MFT
Other - Prefix:MRS
Other - First Name:ASHA
Other - Middle Name:
Other - Last Name:NARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21 RHODES RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-1856
Mailing Address - Country:US
Mailing Address - Phone:860-257-1865
Mailing Address - Fax:860-257-1865
Practice Address - Street 1:21 RHODES RD
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-1856
Practice Address - Country:US
Practice Address - Phone:860-257-1865
Practice Address - Fax:860-257-1865
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000921106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT271114OtherUNITED
CT410000921CT03OtherANTHEM