Mazure, Carolyn M

Mazure, Carolyn M is an individual health care provider with primary practice located at 135 College St Suite 220, New Haven CT 06510-2483. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mazure, Carolyn M can be contacted via phone (203) 688-9711.

Contact Information

Primary practice address
135 College St Suite 220 New Haven CT 06510-2483
Phone: (203) 688-9711
Fax: (203) 688-9709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1497744031
LBN Legal business name Mazure, Carolyn M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Mar 15th, 2011 - about 15 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 1497744031 NPPES
Connecticut MEDICAID 004174231

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