Salters-Pedneault, Kristalyn
Salters-Pedneault, Kristalyn is an sole proprietor health care provider with primary practice located at 381 Hubbard St , Glastonbury CT 06033-5307. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Salters-Pedneault, Kristalyn can be contacted via phone (860) 251-9776.Contact Information
Primary practice address
381 Hubbard St
Glastonbury CT 06033-5307
Phone: (860) 251-9776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 003092 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 8962 | Massachusetts |
Profile Details
| NPI number | 1154615664 |
|---|---|
| LBN Legal business name | Salters-Pedneault, Kristalyn |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2011 |
| Last updated | Jun 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154615664 | NPPES |
| Other | 12244670 | CAQH ID |
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