Stork, Samuel Robert
Stork, Samuel Robert is an individual health care provider with primary practice located at 18 Rockwell Ct , South Windsor CT 06074-6901. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stork, Samuel Robert can be contacted via phone (860) 251-9816.Contact Information
Primary practice address
18 Rockwell Ct
South Windsor CT 06074-6901
Phone: (860) 251-9816
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 12453627-2501 | Utah |
Profile Details
| NPI number | 1295459485 |
|---|---|
| LBN Legal business name | Stork, Samuel Robert |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2022 |
| Last updated | Sep 1st, 2026 - about last month |
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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