Anderson-Diaz, Teodoro
Anderson-Diaz, Teodoro is an individual health care provider with primary practice located at 54 Eastview St 210 Wethersfield Avenue, Hartford CT 06114-2312. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Anderson-Diaz, Teodoro can be contacted via phone (860) 956-1761.Contact Information
Primary practice address
54 Eastview St 210 Wethersfield Avenue
Hartford CT 06114-2312
Phone: (860) 956-1761
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000554 | Connecticut |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006712 | Connecticut |
Profile Details
NPI number | 1952417081 |
---|---|
LBN Legal business name | Anderson-Diaz, Teodoro |
Credentials | LCSW,LADC, |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2006 |
Last updated | Feb 8th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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