Badillo Martinez, Diana

Badillo Martinez, Diana is an sole proprietor health care provider with primary practice located at 60 Old New Milford Rd Suite 3D, Brookfield CT 06804-2430. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Badillo Martinez, Diana can be contacted via phone (203) 775-5183.

Contact Information

Primary practice address
60 Old New Milford Rd Suite 3D Brookfield CT 06804-2430
Phone: (203) 775-5183
Fax: (203) 775-8453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1212 Connecticut
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1212 Connecticut
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1212 Connecticut
Behavioral Health & Social Service Providers / Forensic 103TF0200X 1212 Connecticut

Profile Details

NPI number 1073588505
LBN Legal business name Badillo Martinez, Diana
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2006
Last updated Jul 23rd, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073588505 NPPES
Connecticut MEDICAID 004069084

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