Active NPIIndividual providerSole proprietor

Dr. Reid J Daitzman, PHD

Psychologist, Cognitive & Behavioral in Stamford, Connecticut

NPI Number1588898233
Practice location
1177 High Ridge RD, 209, Stamford, CT 06905-1221
Fax
203-968-0490
Last updated
May 11, 2009

Reid Joseph Daitzman is a Psychologist, Cognitive & Behavioral based in Stamford, CT. Reid Joseph Daitzman practices in Stamford, CT and has the professional credentials of PHD. The NPI Number for Reid Joseph Daitzman is 1588898233 and holds a License No. 682 (CT). The current practice location address for Reid Joseph Daitzman is 1177 High Ridge RD, 209, Stamford, CT 06905-1221 and can be reached out via phone at 203-322-1779 and via fax at 203-968-0490.

Provider Profile Details

NPI Number
1588898233
Provider Name
Reid Joseph Daitzman
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1177 High Ridge RD, 209, Stamford, CT 06905-1221
Phone Number
203-322-1779
Fax Number
203-968-0490
Primary Taxonomy
Psychologist, Cognitive & Behavioral · 103TB0200X
Sole Proprietor
Yes
Provider Enumeration Date
May 11, 2009
Last Update Date
May 11, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1177 High Ridge RD
209
Stamford, CT 06905-1221
Zip
06905-1221
Phone Number
203-322-1779
Fax Number
203-968-0490
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
1177 High Ridge RD
209
Stamford, CT 06905-1221
City
Stamford
State
CT
Zip
06905-1221
Phone Number
203-322-1779
Fax Number
203-968-0490

License Information

License Number
682
License State
CT
Taxonomy
Psychologist, Cognitive & Behavioral · 103TB0200X · Primary

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. Reid J Daitzman, PHD?

The NPI number of Dr. Reid J Daitzman, PHD is 1588898233. It was assigned on May 11, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Reid J Daitzman, PHD?

Dr. Reid J Daitzman, PHD is registered under the primary taxonomy Psychologist, Cognitive & Behavioral (code 103TB0200X), licensed in CT under license number 682.

Where does Dr. Reid J Daitzman, PHD practice?

The practice location is 1177 High Ridge RD, 209, Stamford, CT 06905-1221. The office can be reached at 203-322-1779 (phone) or 203-968-0490 (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 1588898233 directly on the NPPES registry website.

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