Nodelman, Gregg

Nodelman, Gregg is an individual health care provider with primary practice located at 184 Front Ave , West Haven CT 06516-2836. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Nodelman, Gregg can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
184 Front Ave West Haven CT 06516-2836
Phone: (203) 781-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000973 Connecticut

Profile Details

NPI number 1649548082
LBN Legal business name Nodelman, Gregg
Credentials LADC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2011
Last updated Feb 7th, 2017 - about 8 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 1649548082 NPPES
Connecticut MEDICAID 008038052

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