Yancey, Carol L
Yancey, Carol L is an sole proprietor health care provider with primary practice located at 1275 Post Rd Suite A-18, Fairfield CT 06824-6060. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Yancey, Carol L can be contacted via phone (203) 292-6398.Contact Information
Primary practice address
1275 Post Rd Suite A-18
Fairfield CT 06824-6060
Phone: (203) 292-6398
Fax: (203) 283-0532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 06145 | Connecticut |
Profile Details
| NPI number | 1558428623 |
|---|---|
| LBN Legal business name | Yancey, Carol L |
| Credentials | LCSW, ACSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Oct 26th, 2009 - about 17 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 | 1558428623 | NPPES |
| Connecticut | Other | 11511870 | CAQH |
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