NPI: 1750633285 · FAIRFIELD, CT 06825 · Psychologist · NPI assigned 10/08/2012
| Authorized Official | FONTANEZ, ANGELICA (LCSW) |
| NPI Enumeration Date | 10/08/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 13 | 12 | $1K |