Provider Demographics
NPI:1497590541
Name:DUPREY, COSETTE MARIE
Entity type:Individual
Prefix:
First Name:COSETTE
Middle Name:MARIE
Last Name:DUPREY
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 1:35 COPPS HILL RD STE 6
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-4041
Mailing Address - Country:US
Mailing Address - Phone:203-987-3177
Mailing Address - Fax:617-344-4962
Practice Address - Street 1:35 COPPS HILL RD STE 6
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4041
Practice Address - Country:US
Practice Address - Phone:203-987-3177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-29
Last Update Date:2024-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician