Andrade, Jennifer Anne

Andrade, Jennifer Anne is an sole proprietor health care provider with primary practice located at 80 Garden St , Wethersfield CT 06109-3120. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Andrade, Jennifer Anne can be contacted via phone (860) 836-5490.

Contact Information

Primary practice address
80 Garden St Wethersfield CT 06109-3120
Phone: (860) 836-5490
Fax: (860) 529-7820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002634 Connecticut

Profile Details

NPI number 1508974288
LBN Legal business name Andrade, Jennifer Anne
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508974288 NPPES
Connecticut Other 0060002634CT01 ANTHEM BLUE CROSS BLUE SH

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