Mrs. Danielle Lauren Forma
Mrs. Danielle Lauren Forma is a Student in an Organized Health Care Education/Training Program in Trumbull, Connecticut. Licensed in Connecticut. Registered with an NPI since 2018.
- Licensed in
- CT
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
19 Topaz LnTrumbull, CT 06611-3211
Phone: (203) 610-0754
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 4881 (CT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1407323512 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 26, 2018 |
| Last updated in NPPES | May 16, 2021 |
| Certification date | May 16, 2021 |
| Mailing address | 19 Topaz Ln, Trumbull, CT 06611-3211 |
Other providers in Trumbull
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-
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Dr. Joseph Anthony Contini, MD
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Michael Cydylo
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Erica Lynn Goldstein
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Dr. Omar Hasham, DMD
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Dr. Derek Kai Kong, MD
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