Healthcare Provider Details

I. General information

NPI: 1194837310
Provider Name (Legal Business Name): DARLA M FRENCH LCSW,ACSW,CPRP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 CAMPBELL AVE
WEST HAVEN CT
06516-2770
US

IV. Provider business mailing address

13 SHERWOOD LN
MARLBOROUGH CT
06447-1457
US

V. Phone/Fax

Practice location:
  • Phone: 203-931-4045
  • Fax: 203-931-4068
Mailing address:
  • Phone: 860-295-0471
  • Fax: 860-295-0471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: