Provider Demographics
NPI:1619717683
Name:DOYLE, PHILIPPA JANE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:PHILIPPA
Middle Name:JANE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 BRAEBURN DR
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-5105
Mailing Address - Country:US
Mailing Address - Phone:917-488-2283
Mailing Address - Fax:
Practice Address - Street 1:372 DANBURY RD
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-2548
Practice Address - Country:US
Practice Address - Phone:475-400-0355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9926104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker