Individual
DR. CONNIE RICHER FANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
32 COPPERFIELD DR, MADISON, CT 06443-1886
(203) 530-8862
Mailing address
32 COPPERFIELD DR, MADISON, CT 06443-1886
(203) 530-8862
(203) 530-8862
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001446
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004084547
—
CT
Enumeration date
09/22/2006
Last updated
08/29/2023
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