NPI 1417976697

Denise Fogel, PSYD

Practitioner Clinical Neuropsychologist Wallingford, CT

Practice location

Address: 116 S Main St The Carriage House, Wallingford, CT 06492-4226
Phone: (860) 803-6707
Fax: (877) 310-0731

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 002558 (CT)

Other Clinical Neuropsychologist providers in Connecticut →

Registry record

NPI: 1417976697
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2006
Record last updated: 2 May 2012

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.