Crepps, Pamela Gwyn
Crepps, Pamela Gwyn is an individual health care provider with primary practice located at 30 Elizabeth St 3Rd Floor, Derby CT 06418-1802. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crepps, Pamela Gwyn can be contacted via phone (203) 954-0543.Contact Information
Primary practice address
30 Elizabeth St 3Rd Floor
Derby CT 06418-1802
Phone: (203) 954-0543
Fax: (203) 954-0544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006686 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.009991 | Illinois |
Profile Details
| NPI number | 1902057268 |
|---|---|
| LBN Legal business name | Crepps, Pamela Gwyn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2008 |
| Last updated | May 31st, 2019 - about 6 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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