Doctor Name: | DR. STEVEN J DAUER |
NPI Number: | 1912112426 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 002018 |
Business Practice Address: | 18 Dog Ln Ofc A Storrs Mansfield, CT - 062682221 |
Business Phone Number: | 8604287355 |
Business Fax Number: | |
Mailing Address: | 29 Brookside Ln, MANSFIELD CENTER |
State: | CT |
Postal Code: | 062501109 |
Phone Number: | 8604298538 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 002018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |