Gagnon, Marc Dylan

Gagnon, Marc Dylan is an individual health care provider with primary practice located at 21 Waterville Rd , Avon CT 06001-2097. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gagnon, Marc Dylan can be contacted via phone (860) 284-0182.

Contact Information

Primary practice address
21 Waterville Rd Avon CT 06001-2097
Phone: (860) 284-0182
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 12627 Connecticut

Profile Details

NPI number 1508631623
LBN Legal business name Gagnon, Marc Dylan
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2023
Last updated Mar 10th, 2026 - about 8 months 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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