Individual
DR. DAVIDA B UNTERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DSW LCSW
Contact information
Practice address
186 OLD RIDGEFIELD RD, WILTON, CT 06897
(203) 834-7685
(203) 761-6633
Mailing address
186 OLD RIDGEFIELD RD, WILTON, CT 06897
(203) 834-7685
(203) 761-6633
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
002378
CT
104100000X
Social Worker
16019
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11244974
CAQH
—
Enumeration date
12/27/2006
Last updated
10/13/2015
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