Staak Huber, Elizabeth Jane

Staak Huber, Elizabeth Jane is an sole proprietor health care provider with primary practice located at 120 East Ave 2Nd Floor, Norwalk CT 06851-5703. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Staak Huber, Elizabeth Jane can be contacted via phone (203) 750-9711.

Contact Information

Primary practice address
120 East Ave 2Nd Floor Norwalk CT 06851-5703
Phone: (203) 750-9711
Fax: (203) 750-9651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 005461 Connecticut
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 005461 Connecticut

Profile Details

NPI number 1982721130
LBN Legal business name Staak Huber, Elizabeth Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Mar 12th, 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 1982721130 NPPES
Connecticut MEDICAID 008003511

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