Doctor Name: | MR. DARREN M WATERHOUSE |
NPI Number: | 1518277730 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 50 Griswold St New Britain, CT - 060522008 |
Business Phone Number: | 8602245267 |
Business Fax Number: | |
Mailing Address: | 35 Elaine Mary Dr, WINDSOR |
State: | CT |
Postal Code: | 060951714 |
Phone Number: | 8605597715 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2010 |
NPI Last Update Date: | 10/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |