Edington, Scott W.

Edington, Scott W. is an individual health care provider with primary practice located at Maple Ridge Clinical Services, 1066 Storrs Road , Storrs CT 06268. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Edington, Scott W. can be contacted via phone (860) 477-1515.

Contact Information

Primary practice address
Maple Ridge Clinical Services, 1066 Storrs Road Storrs CT 06268
Phone: (860) 477-1515
Fax: (860) 429-2949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 001531 Connecticut

Profile Details

NPI number 1720067374
LBN Legal business name Edington, Scott W.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Dec 19th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720067374 NPPES
Connecticut MEDICAID 004099710

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