| Associated Neurologists Of Southern Connecticut, P.c. | |
|
75 Kings Highway Cutoff 5th Floor Fairfield CT 06824-5340 | |
| (203) 333-1133 | |
| (203) 333-3937 |
| Full Name | Associated Neurologists Of Southern Connecticut, P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 75 Kings Highway Cutoff, Fairfield, Connecticut |
| Authorized Official Name and Position | Kenneth Coleman Siegel (PRESIDENT) |
| Authorized Official Contact | 2033331133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Neurologists Of Southern Connecticut, P.c. 75 Kings Highway Cutoff 5th Floor Fairfield CT 06824-5340 Ph: (203) 333-1133 | Associated Neurologists Of Southern Connecticut, P.c. 75 Kings Highway Cutoff 5th Floor Fairfield CT 06824-5340 Ph: (203) 333-1133 |
| NPI Number | 1194712596 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194712596 | NPI | - | NPPES |
| 4081999 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (Connecticut) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (Connecticut) | Secondary |
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