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Contact Information

GWENDOLYN WAYNE, LCSW, CMTPT, LMT
17 OLD HICKORY LN
BRANFORD, CT06405-2827
 Phone: 203-488-6411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for GWENDOLYN WAYNE · (Female)

NPI # 1558796201
Status Active
Credentials LCSW, CMTPT, LMT
Entity Individual
Enumeration date 09/12/2013
Last updated 03/09/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 000394
  • CT License # 8668
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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