Shalan, Jill D

Shalan, Jill D is an individual health care provider with primary practice located at 40 Dale Road Suite 201, Avon CT 06001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shalan, Jill D can be contacted via phone (860) 676-9350.

Contact Information

Primary practice address
40 Dale Road Suite 201 Avon CT 06001
Fax: (860) 678-7178
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002308 Connecticut

Profile Details

NPI number 1881922326
LBN Legal business name Shalan, Jill D
Credentials PH.D. CLINICAL PSYCH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2009
Last updated Nov 20th, 2009 - about 17 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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