Cloud-Ingram, Autumn

Cloud-Ingram, Autumn is an sole proprietor health care provider with primary practice located at 932 Litchfield Tpke , Bethany CT 06524-3019. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cloud-Ingram, Autumn can be contacted via phone (203) 390-0070.

Contact Information

Primary practice address
932 Litchfield Tpke Bethany CT 06524-3019
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11955 Connecticut

Profile Details

NPI number 1396405585
LBN Legal business name Cloud-Ingram, Autumn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2021
Last updated Dec 29th, 2021 - about 3 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.

Request for update

Popular Providers