Hayes, Gwendolyn Elaine
Hayes, Gwendolyn Elaine is an sole proprietor health care provider with primary practice located at 35 Talcottville Rd Ste 10 , Vernon CT 06066-5261. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Hayes, Gwendolyn Elaine can be contacted via phone (860) 558-2554.Contact Information
Primary practice address
35 Talcottville Rd Ste 10
Vernon CT 06066-5261
Phone: (860) 558-2554
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 009786 | Connecticut |
Profile Details
| NPI number | 1073022513 |
|---|---|
| LBN Legal business name | Hayes, Gwendolyn Elaine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2017 |
| Last updated | Nov 8th, 2022 - about 4 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 | 1073022513 | NPPES |
| Connecticut | MEDICAID | 008075847 |
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