Cardona, Myriam Maria

Cardona, Myriam Maria is an individual health care provider with primary practice located at 21 Grand Street , Hartford CT 06106. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cardona, Myriam Maria can be contacted via phone (860) 550-7500.

Contact Information

Primary practice address
21 Grand Street Hartford CT 06106
Fax: (860) 550-7501
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 003406 Connecticut

Profile Details

NPI number 1366421240
LBN Legal business name Cardona, Myriam Maria
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1366421240 NPPES
Connecticut Other 00415746900 ANTHEM FAMILY ID
Connecticut Other 003406 ANTHEM FAMILY ID

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