Provider Demographics
NPI:1275715427
Name:OLPHIE, COLLEE ELIZABETH (LAC DIPL AC)
Entity Type:Individual
Prefix:MS
First Name:COLLEE
Middle Name:ELIZABETH
Last Name:OLPHIE
Suffix:
Gender:F
Credentials:LAC DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 CROSS HIGHWAY
Mailing Address - Street 2:COTTAGE
Mailing Address - City:REDDING
Mailing Address - State:CT
Mailing Address - Zip Code:06896
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 DANBURY RD
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-4304
Practice Address - Country:US
Practice Address - Phone:203-885-3777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000423171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist