Portley, Lucille

Portley, Lucille is an individual health care provider with primary practice located at 636 Campbell Ave , West Haven CT 06516-4408. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Portley, Lucille can be contacted via phone (203) 934-6690.

Contact Information

Primary practice address
636 Campbell Ave West Haven CT 06516-4408
Phone: (203) 934-6690
Fax: (203) 934-6659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 002189 Connecticut

Profile Details

NPI number 1215080148
LBN Legal business name Portley, Lucille
Credentials Surgical Technician (ST)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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 1215080148 NPPES
Connecticut Other 002189 SPEECH THERAPIST

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