Doctor Name: | DR. ROSEANN CAPANNA-HODGE |
NPI Number: | 1023286713 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | E.D.D |
License Number: | 001559 |
Business Practice Address: | 898 Ethan Allen Hwy Suite 6 Ridgefield, CT - 068772813 |
Business Phone Number: | 2037300243 |
Business Fax Number: | |
Mailing Address: | 898 Ethan Allen Hwy, Suite 6 RIDGEFIELD |
State: | CT |
Postal Code: | 068772813 |
Phone Number: | 2037300243 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 001559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |