Most Relevant Information
Provider Data
| NPI Number: | 1003361825 |
| Provider Name: | STEPHANIE LEIGH DOUDOUNIS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/22/2016 |
| Last Updated: | 08/22/2016 |
Provider Practice Location
93 EDWARDS ST
NEW HAVEN
CT
065113933
Practice Location Phone/Fax
| Phone: | 2037721270 |
| Fax: |
Provider Mailing Location
93 EDWARDS ST
NEW HAVEN
CT
065113933
Provider Mailing Phone/Fax
| Phone: | 2037721270 |
| Fax: |