Individual
DARIUSH FATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
141 FRANKLIN STREET, STAMFORD, CT 06902-5113
(203) 969-0802
(203) 316-9024
Mailing address
141 FRANKLIN STREET, STAMFORD, CT 06902-5113
(203) 969-0802
(203) 316-9024
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3605
CT
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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