Phaneuf, Diana Lynn

Phaneuf, Diana Lynn is an individual health care provider with primary practice located at 949 Bridgeport Ave , Milford CT 06460-3142. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Nursing Service Providers / Psychiatric/Mental Health, Adult. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Phaneuf, Diana Lynn can be contacted via phone (203) 878-6465.

Contact Information

Primary practice address
949 Bridgeport Ave Milford CT 06460-3142
Phone: (203) 878-6465
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0008889 Connecticut
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X E32952 Connecticut

Profile Details

NPI number 1144345554
LBN Legal business name Phaneuf, Diana Lynn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Sep 6th, 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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