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Contact Information

WALTER VAN SAMBECK
244 S MAIN ST
COLCHESTER, CT06415-1405
 Phone: 860-537-3977
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WALTER VAN SAMBECK · (Female)

NPI Number 1538342829
Status Active
Credentials
Entity Individual
Enumeration date 12/10/2007
Last updated 06/16/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 000493
  • CT License # 023879
  • Other 1275632994 NPI
  • Other 1437218823 NPI
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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