Harris, Deborah

Harris, Deborah is an individual health care provider with primary practice located at 400 Columbus Ave , New Haven CT 06519-1233. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Harris, Deborah can be contacted via phone (203) 503-3000.

Contact Information

Primary practice address
400 Columbus Ave New Haven CT 06519-1233
Fax: (203) 503-3055
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1922496348
LBN Legal business name Harris, Deborah
Credentials MA, LPC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2015
Last updated Jan 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922496348 NPPES
Connecticut MEDICAID 004235918

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