Dwyer, Marissa Joanne
Dwyer, Marissa Joanne is an sole proprietor health care provider with primary practice located at 2666 State Street Unti A3, Hamden CT 06517. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Dwyer, Marissa Joanne can be contacted via phone (888) 754-0398.Contact Information
Primary practice address
2666 State Street Unti A3
Hamden CT 06517
Phone: (888) 754-0398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1073242285 |
|---|---|
| LBN Legal business name | Dwyer, Marissa Joanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2022 |
| Last updated | Jun 6th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073242285 | NPPES |
| Connecticut | Other | XGY014W03536 | ANTHEM BLUE CROSS BLUE SHIELD |
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