Doctor Name: | DR. CRISTINA LAURA CIOCCA |
NPI Number: | 1205009537 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 002035 |
Business Practice Address: | 85 Seymour St Suite 803 Hartford, CT - 061065501 |
Business Phone Number: | 8605454136 |
Business Fax Number: | 8605454009 |
Mailing Address: | 5 Portage Xing, FARMINGTON |
State: | CT |
Postal Code: | 060322737 |
Phone Number: | 8606774693 |
Fax Number: | 8605454009 |
NPI Enumeration Date: | 04/08/2008 |
NPI Last Update Date: | 04/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 002035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |