Ebling, Laura D

Ebling, Laura D is an individual health care provider with primary practice located at 95 Main Street , Canaan CT 06018-0653. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ebling, Laura D can be contacted via phone (860) 824-1350.

Contact Information

Primary practice address
95 Main Street Canaan CT 06018-0653
Phone: (860) 824-1350
Fax: (413) 229-3634
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 001833 Connecticut
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5062 Massachusetts

Profile Details

NPI number 1992808521
LBN Legal business name Ebling, Laura D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 14th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992808521 NPPES
Connecticut MEDICAID 00415456400
Connecticut Other 0502421
Connecticut Other W04778

Popular Providers