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Contact Information

FAIRFIELD COUNTY HEALTH & WELLNESS SERVICES, LLC
325 REEF RD
SUITE # 109
FAIRFIELD, CT06824-6537
 Phone: 203-955-1822
 Fax: 203-955-1823
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for FAIRFIELD COUNTY HEALTH WELLNESS SERVICES LLC · (Female)

NPI Number 1528481090
Status Active
Credentials
Entity Individual
Enumeration date 02/03/2014
Last updated 02/03/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 034005
  • CT Medicaid 001340059
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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