Carlo, Sandra Elizabeth

Carlo, Sandra Elizabeth is an sole proprietor health care provider with primary practice located at 3380 Main St Suite 201, Stratford CT 06614-4860. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Carlo, Sandra Elizabeth can be contacted via phone (203) 767-9629.

Contact Information

Primary practice address
3380 Main St Suite 201 Stratford CT 06614-4860
Phone: (203) 767-9629
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001010 Connecticut

Profile Details

NPI number 1619030665
LBN Legal business name Carlo, Sandra Elizabeth
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619030665 NPPES
Connecticut Other 7251549 AETNA PROVIDER ID
Connecticut Other 62-73452 AETNA PROVIDER ID
Connecticut Other 304198 AETNA PROVIDER ID
Connecticut Other 410001010CT06 AETNA PROVIDER ID
Connecticut Other P3179321 AETNA PROVIDER ID

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