Domack, Elizabeth
Domack, Elizabeth is an individual health care provider with primary practice located at 170 Bennett St , Bridgeport CT 06605-2901. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Domack, Elizabeth can be contacted via phone (203) 330-6790.Contact Information
Primary practice address
170 Bennett St
Bridgeport CT 06605-2901
Phone: (203) 330-6790
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2811 | Connecticut |
Profile Details
| NPI number | 1225405152 |
|---|---|
| LBN Legal business name | Domack, Elizabeth |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2015 |
| Last updated | Aug 26th, 2015 - about 11 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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