Brycki, Amanda Leigh

Brycki, Amanda Leigh is an individual health care provider with primary practice located at 47 Town St , Norwich CT 06360-2323. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Brycki, Amanda Leigh can be contacted via phone (860) 892-7042.

Contact Information

Primary practice address
47 Town St Norwich CT 06360-2323
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 001802 Connecticut

Profile Details

NPI number 1306046164
LBN Legal business name Brycki, Amanda Leigh
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Aug 18th, 2016 - about 8 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 1306046164 NPPES
Connecticut MEDICAID 004235942

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