Smith, Deborah L.
Smith, Deborah L. is an individual health care provider with primary practice located at 1007 N. Main Street , Dayville CT 06241-0839. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Deborah L. can be contacted via phone (860) 774-2020.Contact Information
Primary practice address
1007 N. Main Street
Dayville CT 06241-0839
Phone: (860) 774-2020
Fax: (860) 779-5437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1477803690 |
|---|---|
| LBN Legal business name | Smith, Deborah L. |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2012 |
| Last updated | Sep 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477803690 | NPPES |
| Connecticut | MEDICAID | 0040404564 |
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