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Contact Information

JEROME S CZECH, LCSW
20 YORK STREET
NEW HAVEN, CT06510
 Phone: 203-688-9772
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Hospital

283Q00000X A0[7] Hospital-Psychiatric (PPS excluded)
Indicates primary specialty

NPI Profile & details for JEROME S CZECH · (Male)

NPI Number 1497768071
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 000308
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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