Provider Demographics
NPI:1699011536
Name:DOYLE, VANESSA FRANCES (ND)
Entity Type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:FRANCES
Last Name:DOYLE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 POPLAR STREET
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611
Mailing Address - Country:US
Mailing Address - Phone:617-686-8622
Mailing Address - Fax:203-366-0529
Practice Address - Street 1:115 BROAD STREET
Practice Address - Street 2:C/O CENTER OF EXCELLENCE
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604
Practice Address - Country:US
Practice Address - Phone:203-366-0526
Practice Address - Fax:201-336-6052
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT489175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath