Fox, Diana G

Fox, Diana G is an individual health care provider with primary practice located at 1095 S Main St , Cheshire CT 06410-3432. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fox, Diana G can be contacted via phone (203) 271-3809.

Contact Information

Primary practice address
1095 S Main St Cheshire CT 06410-3432
Phone: (203) 271-3809
Fax: (203) 272-6968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002521 Connecticut

Profile Details

NPI number 1710093505
LBN Legal business name Fox, Diana G
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 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 1710093505 NPPES
Connecticut Other 060002521CT01 ANTHEM BLUE CROSS

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