Dillard, De'Andrea L.R.
Dillard, De'Andrea L.R. is an sole proprietor health care provider with primary practice located at 1113 S Main St Ste F , Cheshire CT 06410-3436. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dillard, De'Andrea L.R. can be contacted via phone (203) 699-6318.Contact Information
Primary practice address
1113 S Main St Ste F
Cheshire CT 06410-3436
Phone: (203) 699-6318
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10596 |
Profile Details
| NPI number | 1063845766 |
|---|---|
| LBN Legal business name | Dillard, De'Andrea L.R. |
| Credentials | MSM, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2013 |
| Last updated | Nov 3rd, 2021 - about 5 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 | 1063845766 | NPPES |
| Connecticut | Other | 060669107 | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
| Connecticut | Other | D339210 WATERBURY | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
| Connecticut | Other | NOT ELIGIBLE | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
| Connecticut | Other | NOT ELIGIBLE | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
| Connecticut | Other | PENDING | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
| Connecticut | Other | 12600248 | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
| Connecticut | Other | PENDING | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
| Connecticut | MEDICAID | 008060102 | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UBH-OXFORD LIBERTY/FREEDOM PLAN WELLMORE GRP/FACILITY |
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