Basic Information
| Provider Information | |||||||||
| NPI: | 1487173951 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GIASSON-GARIEPY | ||||||||
| FirstName: | KARINE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 GEORGE ST STE 901 | ||||||||
| Address2: | |||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065116662 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037852095 | ||||||||
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| Practice Location | |||||||||
| Address1: | YALE UNIVERSITY DEPARTMENT OF PSYCHIATRY | ||||||||
| Address2: | 300 GEORGE STREET, SUITE 901, NEW HAVEN, CT 06511 | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037852095 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 56927 | CT | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.