Groumousas, Denise
Groumousas, Denise is an individual health care provider with primary practice located at 419 Whalley Ave , New Haven CT 06511-3019. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Groumousas, Denise can be contacted via phone (203) 285-6475.Contact Information
Primary practice address
419 Whalley Ave
New Haven CT 06511-3019
Phone: (203) 285-6475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1093273351 |
|---|---|
| LBN Legal business name | Groumousas, Denise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2019 |
| Last updated | Mar 6th, 2019 - about 6 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 | 1093273351 | NPPES |
| Connecticut | Other | 1174607253 | MASTERS DEGREE |
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