Conway, Alexandra Blair
Conway, Alexandra Blair is an individual health care provider with primary practice located at 55 Holly Hill Lane Suite 170 , Greenwich CT 06830. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Conway, Alexandra Blair can be contacted via phone (203) 863-2939.Contact Information
Primary practice address
55 Holly Hill Lane Suite 170
Greenwich CT 06830
Phone: (203) 863-2939
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 003862 | Connecticut |
Profile Details
| NPI number | 1134773674 |
|---|---|
| LBN Legal business name | Conway, Alexandra Blair |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2019 |
| Last updated | Aug 28th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134773674 | NPPES |
| Connecticut | MEDICAID | 008091020 |
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