Brown, Marissa Perrelli
Brown, Marissa Perrelli is an individual health care provider with primary practice located at 595 Thompson Ave , East Haven CT 06512-2934. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brown, Marissa Perrelli can be contacted via phone (203) 468-3297.Contact Information
Primary practice address
595 Thompson Ave
East Haven CT 06512-2934
Phone: (203) 468-3297
Fax: (203) 468-3334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 007056 | Connecticut |
Profile Details
| NPI number | 1316173941 |
|---|---|
| LBN Legal business name | Brown, Marissa Perrelli |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2009 |
| Last updated | Jul 21st, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316173941 | NPPES |
| Connecticut | MEDICAID | 004051652 |
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