Delvalle, Phaedra M

Delvalle, Phaedra M is an individual health care provider with primary practice located at 1000 Lafayette Blvd Ste 1100 , Bridgeport CT 06604-4710. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Delvalle, Phaedra M can be contacted via phone (818) 345-2345.

Contact Information

Primary practice address
1000 Lafayette Blvd Ste 1100 Bridgeport CT 06604-4710
Phone: (818) 345-2345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1730726845
LBN Legal business name Delvalle, Phaedra M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2019
Last updated Dec 9th, 2019 - about 7 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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