Organization
DIANA E MINER, PH.D, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA E MINER PH.D (OWNER)
(860) 371-4434
Entity
Organization
Contact information
Practice address
181 POST RD W, WESTPORT, CT 06880-4626
(860) 371-4434
Mailing address
181 POST RD W, WESTPORT, CT 06880-4626
(860) 371-4434
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
003120
CT
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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