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Contact Information

567 VAUXHALL, LLC
567 VAUXHALL STREET EXT STE 126
WATERFORD, CT06385-4332
 Phone: 860-444-0503
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for 567 VAUXHALL LLC · (Female)

NPI Number 1598198038
Status Active
Credentials
Entity Individual
Enumeration date 08/20/2013
Last updated 08/20/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # CT 000159
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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