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Contact Information

STEPHANIE G OSULLIVAN, BA.PY,AT
623 VILLAGE WALK
GUILFORD, CT06437
 Phone: 203-779-9414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for STEPHANIE G OSULLIVAN · (Female)

NPI Number 1063845188
Status Active
Credentials BA.PY,AT
Entity Individual
Enumeration date 08/13/2013
Last updated 04/15/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • CT Medicaid 174H00000X
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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