Cruess, Stacy Ellen

Cruess, Stacy Ellen is an individual health care provider with primary practice located at 164 Otrobando Ave , Norwich CT 06360-2116. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cruess, Stacy Ellen can be contacted via phone (860) 425-8740.

Contact Information

Primary practice address
164 Otrobando Ave Norwich CT 06360-2116
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002704 Connecticut

Profile Details

NPI number 1063511681
LBN Legal business name Cruess, Stacy Ellen
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Apr 25th, 2023 - about 3 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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