Waltman, Ellen
Waltman, Ellen is an individual health care provider with primary practice located at 132 Mansfield Ave , Willimantic CT 06226-2027. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Waltman, Ellen can be contacted via phone (860) 456-2261.Contact Information
Primary practice address
132 Mansfield Ave
Willimantic CT 06226-2027
Phone: (860) 456-2261
Fax: (860) 450-1357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 002290 | Connecticut |
Profile Details
| NPI number | 1902357999 |
|---|---|
| LBN Legal business name | Waltman, Ellen |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2016 |
| Last updated | Oct 14th, 2016 - about 10 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 | 1902357999 | NPPES |
| Connecticut | MEDICAID | 004040564 |
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