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Contact Information

EVOLVE BRAIN HEALTH LLC
1055 SUMMER ST
STAMFORD, CT06905-5527
 Phone: 203-504-9758
 Fax: 203-504-9758
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for EVOLVE BRAIN HEALTH LLC · (Female)

NPI Number 1740916105
Status Active
Credentials
Entity Individual
Enumeration date 07/28/2022
Last updated 09/30/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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