| Diana E Dash | |
|
955 S Main St Middletown CT 06457-5153 | |
| (860) 617-4305 | |
| Not Available |
| Full Name | Diana E Dash |
|---|---|
| Speciality | Counselor - Professional |
| Location | 955 S Main St, Middletown, Connecticut |
| Authorized Official Name and Position | Diana E Dash (OWNER) |
| Authorized Official Contact | 8606174305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana E Dash 955 S Main St Middletown CT 06457-5153 Ph: (860) 617-4305 | Diana E Dash 955 S Main St Middletown CT 06457-5153 Ph: (860) 617-4305 |
| NPI Number | 1508225863 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 02/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508225863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2638 (Connecticut) | Primary |
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