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Contact Information

LAURA GAULT, MD
342 HARBOR ST
BRANFORD, CT06405-4540
 Phone: 203-481-4248
 Fax: 203-483-7727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for LAURA GAULT · (Female)

NPI # 1366452898
Status Active
Credentials MD
Entity Individual
Enumeration date 08/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 040626
  • CT Other BG8519487 D.E.A. REG. #
  • CT Other 34027 ST CONTROL DRUG REG.
  • CT Other 040626 STATE OF CT LIC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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