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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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