Balsamo, Lyn M
Balsamo, Lyn M is an individual health care provider with primary practice located at 8 Crescent St , Middletown CT 06457-3602. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Balsamo, Lyn M can be contacted via phone (860) 344-6394.Contact Information
Primary practice address
8 Crescent St
Middletown CT 06457-3602
Phone: (860) 344-6394
Fax: (860) 344-6748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 002618 | Connecticut |
Profile Details
| NPI number | 1487615258 |
|---|---|
| LBN Legal business name | Balsamo, Lyn M |
| Credentials | PH D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487615258 | NPPES |
| Connecticut | Other | 002618 | PH D CT LIC # |
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