Dicandia, Clarisse G
Dicandia, Clarisse G is an individual health care provider with primary practice located at 567 Vauxhall St Ext Suite 304, Waterford CT 06385. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dicandia, Clarisse G can be contacted via phone (860) 442-6777.Contact Information
Primary practice address
567 Vauxhall St Ext Suite 304
Waterford CT 06385
Phone: (860) 442-6777
Fax: (203) 481-5291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 001698 | Connecticut |
Profile Details
| NPI number | 1881727600 |
|---|---|
| LBN Legal business name | Dicandia, Clarisse G |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881727600 | NPPES |
| Connecticut | Other | 060001698CT02 | ANTHEM BCBS |
| Connecticut | Other | 5217064 | ANTHEM BCBS |
| Connecticut | Other | 168925 | ANTHEM BCBS |
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