Healthcare Provider Details

I. General information

NPI: 1679843692
Provider Name (Legal Business Name): DIANNA ZAFFINA L.M.F.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2012
Last Update Date: 01/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 WHITE PLAINS RD
TRUMBULL CT
06611-4588
US

IV. Provider business mailing address

96 HAVILAND DR
TRUMBULL CT
06611-1009
US

V. Phone/Fax

Practice location:
  • Phone: 203-445-1504
  • Fax:
Mailing address:
  • Phone: 203-445-1504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number000877
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: