Kazakov, Dmitriy

Kazakov, Dmitriy is an individual health care provider with primary practice located at 609 W Johnson Ave Ste 104 , Cheshire CT 06410-4506. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Kazakov, Dmitriy can be contacted via phone (203) 272-6007.

Contact Information

Primary practice address
609 W Johnson Ave Ste 104 Cheshire CT 06410-4506
Phone: (203) 272-6007
Fax: (203) 272-8895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4127 Connecticut
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 4127 Connecticut

Profile Details

NPI number 1336804541
LBN Legal business name Kazakov, Dmitriy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2021
Last updated Nov 2nd, 2021 - about 3 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

Popular Providers