Boutwell, Katelyn
Boutwell, Katelyn is an sole proprietor health care provider with primary practice located at 21 Hyde Park Rd , Stafford Springs CT 06076-1507. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Boutwell, Katelyn can be contacted via phone (860) 684-4239.Contact Information
Primary practice address
21 Hyde Park Rd
Stafford Springs CT 06076-1507
Phone: (860) 684-4239
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 002804 | Connecticut |
Profile Details
| NPI number | 1285383679 |
|---|---|
| LBN Legal business name | Boutwell, Katelyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2022 |
| Last updated | Mar 22nd, 2022 - about 4 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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