Botens, Debra Dorfman
Botens, Debra Dorfman is an individual health care provider with primary practice located at 47 Long Lots Road , Westport CT 06880-3800. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Botens, Debra Dorfman can be contacted via phone (203) 221-8801.Contact Information
Primary practice address
47 Long Lots Road
Westport CT 06880-3800
Phone: (203) 221-8801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 002775 | Connecticut |
Profile Details
| NPI number | 1437360369 |
|---|---|
| LBN Legal business name | Botens, Debra Dorfman |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437360369 | NPPES |
| New York | Other | 013033-1 | LICENSE PSYCHOLOGIST |
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