Individual
DENISE FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
116 S MAIN ST, THE CARRIAGE HOUSE, WALLINGFORD, CT 06492-4226
(860) 803-6707
(877) 310-0731
Mailing address
116 S MAIN ST, THE CARRIAGE HOUSE, WALLINGFORD, CT 06492-4226
(860) 803-6707
(877) 310-0731
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
002558
CT
Other
Enumeration date
07/19/2006
Last updated
05/02/2012
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