Aquino, Timothy M

Aquino, Timothy M is an sole proprietor health care provider with primary practice located at 19 Ludlow Rd , Westport CT 06880-3040. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Aquino, Timothy M can be contacted via phone (203) 208-3940.

Contact Information

Primary practice address
19 Ludlow Rd Westport CT 06880-3040
Fax: (203) 693-4900
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 002825 Connecticut

Profile Details

NPI number 1194472522
LBN Legal business name Aquino, Timothy M
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2022
Last updated Mar 6th, 2022 - about 2 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 1194472522 NPPES
Connecticut MEDICAID 008107193

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