Elder, Kyle L

Elder, Kyle L is an individual health care provider with primary practice located at 141 E Main St Waterbury Clinicial Service, Waterbury CT 06702-2310. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Elder, Kyle L can be contacted via phone (203) 575-0466.

Contact Information

Primary practice address
141 E Main St Waterbury Clinicial Service Waterbury CT 06702-2310
Phone: (203) 575-0466
Fax: (203) 574-9006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1992170146
LBN Legal business name Elder, Kyle L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2015
Last updated Dec 13th, 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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