Roehrich, Teresa

Roehrich, Teresa is an individual health care provider with primary practice located at 495 Congress Ave , New Haven CT 06519-1312. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Roehrich, Teresa can be contacted via phone (203) 781-4740.

Contact Information

Primary practice address
495 Congress Ave New Haven CT 06519-1312
Phone: (203) 781-4740
Fax: (203) 781-4751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000824 Connecticut

Profile Details

NPI number 1851501811
LBN Legal business name Roehrich, Teresa
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Dec 19th, 2012 - about 14 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 1851501811 NPPES
Connecticut MEDICAID 008022622
Connecticut MEDICAID 008001325
Connecticut MEDICAID 004082260
Connecticut MEDICAID 0080038053

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