Calvert, Joan M

Calvert, Joan M is an sole proprietor health care provider with primary practice located at 705 N Mountain Rd , Newington CT 06111-1412. 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. Calvert, Joan M can be contacted via phone (860) 953-0453.

Contact Information

Primary practice address
705 N Mountain Rd Newington CT 06111-1412
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001220 Connecticut

Profile Details

NPI number 1386831048
LBN Legal business name Calvert, Joan M
Credentials ED.D, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2007
Last updated Aug 13th, 2010 - about 15 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 1386831048 NPPES
Connecticut Other 001220 STATE LICENSE NUMBER

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