Whalio Doctors

NPI 1073588505

Diana Badillo Martinez, PHD

Practitioner Clinical Neuropsychologist Brookfield, CT

Practice location

Address
60 Old New Milford Rd Suite 3d, Brookfield, CT 06804-2430
Phone
(203) 775-5183
Fax
(203) 775-8453

Registered specialties (4)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1212 (CT)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 1212 (CT)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1212 (CT)
Forensic Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TF0200X Licence 1212 (CT)

Registry record

NPI
1073588505
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Feb 2006
Record last updated
23 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.