Coleridge, Carolyn

Coleridge, Carolyn is an sole proprietor health care provider with primary practice located at 34 Jerome Ave Ste 220 , Bloomfield CT 06002-2463. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Coleridge, Carolyn can be contacted via phone (323) 782-9085.

Contact Information

Primary practice address
34 Jerome Ave Ste 220 Bloomfield CT 06002-2463
Phone: (323) 782-9085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1275743569
LBN Legal business name Coleridge, Carolyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Apr 26th, 2022 - 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.

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