Beckley, Andrew

Beckley, Andrew is an individual health care provider with primary practice located at 871 State St , New Haven CT 06511-3923. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Beckley, Andrew can be contacted via phone (203) 787-2111.

Contact Information

Primary practice address
871 State St New Haven CT 06511-3923
Phone: (203) 787-2111
Fax: (203) 397-9077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A-1530-SA Connecticut

Profile Details

NPI number 1114081783
LBN Legal business name Beckley, Andrew
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 9th, 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 1114081783 NPPES
Colorado Other 329553 VALU OPT CHN CT SAGA
Colorado Other B000698 VALU OPT CHN CT SAGA
Colorado Other CTGA000525 VALU OPT CHN CT SAGA

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