Provider Demographics
NPI:1245462217
Name:CADIGAN, NICOLE (BA)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:CADIGAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:GRABELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:335 POST RD W
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-4206
Mailing Address - Country:US
Mailing Address - Phone:203-227-3383
Mailing Address - Fax:203-227-7490
Practice Address - Street 1:335 POST RD W
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4206
Practice Address - Country:US
Practice Address - Phone:203-227-3383
Practice Address - Fax:203-227-7490
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst