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NPI Code Detail

MEDICARE: DONNA ANDONIA DAKIS

MEDICARE:   DONNA ANDONIA DAKIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist001177CT

General Provider Information

NPI Number : 1215056775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA ANDONIA DAKIS
Provider Business Mailing Address
First Line : 400 COLUMBUS AVE
Second Line :
City : NEW HAVEN
State : CT
Zip : 06519-1233
Country : US
Telephone Number : 203-503-3250
Fax Number : 203-503-3297
Provider Business Practice Location Address
First Line : 62 GRANT ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06519-2514
Country : US
Telephone Number : 203-503-3350
Fax Number : 203-503-3370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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Directions to “ DONNA ANDONIA DAKIS ” Practice Location

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