Deary, Tiffanie
Deary, Tiffanie is an individual health care provider with primary practice located at 1007 N Main St , Dayville CT 06241-2170. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Deary, Tiffanie can be contacted via phone (860) 774-2020.Contact Information
Primary practice address
1007 N Main St
Dayville CT 06241-2170
Phone: (860) 774-2020
Fax: (860) 779-0018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 009601 | Connecticut |
Profile Details
| NPI number | 1528500147 |
|---|---|
| LBN Legal business name | Deary, Tiffanie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2016 |
| Last updated | Nov 14th, 2016 - about 10 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 | 1528500147 | NPPES |
| Connecticut | MEDICAID | 004040564 |
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