Sherlock, Irene

Sherlock, Irene is an individual health care provider with primary practice located at 38 Old Ridgebury Rd , Danbury CT 06810-5128. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Sherlock, Irene can be contacted via phone (203) 792-4515.

Contact Information

Primary practice address
38 Old Ridgebury Rd Danbury CT 06810-5128
Phone: (203) 792-4515
Fax: (203) 748-2632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001524 Connecticut

Profile Details

NPI number 1902168115
LBN Legal business name Sherlock, Irene
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2012
Last updated Jun 13th, 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 1902168115 NPPES
Connecticut MEDICAID 008031626
Connecticut MEDICAID 004123840
Connecticut MEDICAID 008017939

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