Individual
MR. PETER DOLF PANTHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
60 KATONA DR STE 25A, FAIRFIELD, CT 06824-3547
(203) 295-5273
Mailing address
60 KATONA DR STE 25A, FAIRFIELD, CT 06824-3547
(203) 295-5273
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000662
CT
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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