Provider Demographics
NPI:1164170015
Name:TORRES-DOZIER, BIANCA R
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:R
Last Name:TORRES-DOZIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 ATWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06705-1506
Mailing Address - Country:US
Mailing Address - Phone:203-982-8000
Mailing Address - Fax:
Practice Address - Street 1:263 ATWOOD AVE
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705-1506
Practice Address - Country:US
Practice Address - Phone:203-982-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty