Associated Neurologists of Southern Connecticut, P.C.
Organization Active NPI Clinical Neuropsychologist · Fairfield, CT
NPI 1194712596 · NPPES record last updated Aug 1, 2008
Key facts
- NPI
- 1194712596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- Legal business name
- ASSOCIATED NEUROLOGISTS OF SOUTHERN CONNECTICUT, P.C.
- Practice address
- 75 Kings Highway Cutoff
5TH Floor
Fairfield, CT 06824-5340 - Phone
- (203) 333-1133
- Fax
- (203) 333-3937
- NPI assigned
- Sep 30, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Kenneth Coleman Siegel, M.D.
- Title
- President
- Phone
- (203) 333-1133
Practitioners 6
-
Bozena Czapka, P.A.
-
Peter J. McAllister, M.D.
-
Vanessa L Nevins, P.A.
-
Leslie E Reis, LCSW
-
Kimi Carson, PHD
National Provider Directory
Locations
75 Kings Highway Cutoff
Fl 5
Fairfield, CT 06824
Phone (203) 333-1133
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist |
103G00000X | CT | Yes | |
| Neurology Physician |
2084N0400X | CT |
Addresses
Primary practice location
75 Kings Highway Cutoff
5TH Floor
Fairfield, CT 06824-5340
Mailing address
75 Kings Highway Cutoff
5TH Floor
Fairfield, CT 06824-5340
Phone (203) 333-1133
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4081999 | Medicaid | CT |
Other providers in Fairfield, CT
- Jenna Arrigo
- Andrea Arruda
- Art Therapy of Fairfield
- Isabel Camille Ashwood-Bauer
- Leena Aslam
- Associated Podiatrist of Fairfield, LLC
- Maryna Astashka
- Scott Montgomery Atkin
- Elizabeth P Atterbury
- Diana August
All providers in Fairfield, CT · Clinical Neuropsychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.