Boltas, Debra

Boltas, Debra is an sole proprietor health care provider with primary practice located at 66 Trumbull St , New Haven CT 06510-1012. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boltas, Debra can be contacted via phone (203) 787-9119.

Contact Information

Primary practice address
66 Trumbull St New Haven CT 06510-1012
Phone: (203) 787-9119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 001924 Connecticut

Profile Details

NPI number 1104952381
LBN Legal business name Boltas, Debra
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2007
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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