Individual
DR. HEATHER LEE PAXTON
Active
Individual
DR. HEATHER LEE PAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
043719
CT
2084P0800X
Psychiatry Physician
Primary
043719
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043719
CT DEP'T HEALTH
CT
Enumeration date
05/17/2007
Last updated
05/22/2009
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