Frank, Mary
Frank, Mary is an individual health care provider with primary practice located at 475 Clinton Ave , Bridgeport CT 06605-1700. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Frank, Mary can be contacted via phone (203) 368-4291.Contact Information
Primary practice address
475 Clinton Ave
Bridgeport CT 06605-1700
Phone: (203) 368-4291
Fax: (203) 368-9167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 003134 | Connecticut |
Profile Details
| NPI number | 1538609094 |
|---|---|
| LBN Legal business name | Frank, Mary |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2017 |
| Last updated | Mar 3rd, 2017 - about 9 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 | 1538609094 | NPPES |
| Connecticut | MEDICAID | 004069985 |
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