Distephan, Raymond Vincent

Distephan, Raymond Vincent is an sole proprietor health care provider with primary practice located at 11 Old Woods Rd , Brookfield CT 06804-3630. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Distephan, Raymond Vincent can be contacted via phone (917) 922-9680.

Contact Information

Primary practice address
11 Old Woods Rd Brookfield CT 06804-3630
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 072615-1 New York

Profile Details

NPI number 1851803449
LBN Legal business name Distephan, Raymond Vincent
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2017
Last updated Nov 3rd, 2017 - about 4 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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