Roth Perreault, Terry

Roth Perreault, Terry is an individual health care provider with primary practice located at 33 Highland St , New Britain CT 06052-2013. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Roth Perreault, Terry can be contacted via phone (860) 224-9985.

Contact Information

Primary practice address
33 Highland St New Britain CT 06052-2013
Phone: (860) 224-9985
Fax: (860) 826-4995
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PC0000327 Delaware
Behavioral Health & Social Service Providers / Professional 101YP2500X 001640 Connecticut

Profile Details

NPI number 1851468383
LBN Legal business name Roth Perreault, Terry
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jun 23rd, 2008 - about 18 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 1851468383 NPPES
Delaware MEDICAID 1000035004

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