Cordova, Diana

Cordova, Diana is an individual health care provider with primary practice located at 46 Albion St , Bridgeport CT 06605-2602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Cordova, Diana can be contacted via phone (203) 330-3155.

Contact Information

Primary practice address
46 Albion St Bridgeport CT 06605-2602
Phone: (203) 330-3155
Fax: (203) 330-6008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 000478 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5400 Puerto Rico

Profile Details

NPI number 1780097964
LBN Legal business name Cordova, Diana
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2014
Last updated May 12th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780097964 NPPES
Connecticut Other 000478 CT LICENSE

Popular Providers