Active NPIIndividual providerSole proprietor

Dr. Diana Badillo Martinez, PHD

Clinical Neuropsychologist in Brookfield, Connecticut

NPI Number1073588505
Practice location
60 Old New Milford RD, Suite 3D, Brookfield, CT 06804-2430
Fax
203-775-8453
Last updated
July 23, 2007

Diana Badillo Martinez is a Clinical Neuropsychologist based in Brookfield, CT. Diana Badillo Martinez practices in Brookfield, CT and has the professional credentials of PHD. The NPI Number for Diana Badillo Martinez is 1073588505 and holds a License No. 1212 (CT). The current practice location address for Diana Badillo Martinez is 60 Old New Milford RD, Suite 3D, Brookfield, CT 06804-2430 and can be reached out via phone at 203-775-5183 and via fax at 203-775-8453.

Provider Profile Details

NPI Number
1073588505
Provider Name
Diana Badillo Martinez
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
60 Old New Milford RD, Suite 3D, Brookfield, CT 06804-2430
Phone Number
203-775-5183
Fax Number
203-775-8453
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 20, 2006
Last Update Date
July 23, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Old New Milford RD
Suite 3D
Brookfield, CT 06804-2430
Zip
06804-2430
Phone Number
203-775-5183
Fax Number
203-775-8453
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
60 Old New Milford RD
Suite 3D
Brookfield, CT 06804-2430
City
Brookfield
State
CT
Zip
06804-2430
Phone Number
203-775-5183
Fax Number
203-775-8453

License Information

License Number (1)
1212
License State (1)
CT
Taxonomy (1)
Clinical Neuropsychologist · 103G00000X · Primary
License Number (2)
1212
License State (2)
CT
Taxonomy (2)
Psychologist · 103T00000X
License Number (3)
1212
License State (3)
CT
Taxonomy (3)
Psychologist, Clinical · 103TC0700X
License Number (4)
1212
License State (4)
CT
Taxonomy (4)
Psychologist, Forensic · 103TF0200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Diana Badillo Martinez, PHD?

The NPI number of Dr. Diana Badillo Martinez, PHD is 1073588505. It was assigned on February 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Diana Badillo Martinez, PHD?

Dr. Diana Badillo Martinez, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in CT under license number 1212.

Where does Dr. Diana Badillo Martinez, PHD practice?

The practice location is 60 Old New Milford RD, Suite 3D, Brookfield, CT 06804-2430. The office can be reached at 203-775-5183 (phone) or 203-775-8453 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073588505 directly on the NPPES registry website.

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