Healthcare Provider Details

I. General information

NPI: 1366566630
Provider Name (Legal Business Name): STEVEN B DULEY MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 MURRAY STREET FAMILY SERVICES OF GREATER WATERBURY
WATERBURY CT
06710-1920
US

IV. Provider business mailing address

78 CURTIS RD
MIDDLEBURY CT
06762
US

V. Phone/Fax

Practice location:
  • Phone: 203-756-8317
  • Fax: 203-756-8310
Mailing address:
  • Phone: 203-206-3270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: