Worden, Blaise Lindsey

Worden, Blaise Lindsey is an individual health care provider with primary practice located at 200 Retreat Avenue Hartford Hospital Anxiety Disorders Center, Hartford CT 06106-3310. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Worden, Blaise Lindsey can be contacted via phone (860) 545-7685.

Contact Information

Primary practice address
200 Retreat Avenue Hartford Hospital Anxiety Disorders Center Hartford CT 06106-3310
Phone: (860) 545-7685
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0031958 Connecticut

Profile Details

NPI number 1962765362
LBN Legal business name Worden, Blaise Lindsey
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2012
Last updated Oct 4th, 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 1962765362 NPPES
Connecticut MEDICAID 008031957

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