Daigneault, Mary
Daigneault, Mary is an sole proprietor health care provider with primary practice located at 596 New Loudon Rd , Latham NY 12110-4024. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Daigneault, Mary can be contacted via phone (518) 424-6097.Contact Information
Primary practice address
596 New Loudon Rd
Latham NY 12110-4024
Phone: (518) 424-6097
Fax: (518) 783-4793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R032932-1 | New York |
Profile Details
| NPI number | 1144327735 |
|---|---|
| LBN Legal business name | Daigneault, Mary |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2006 |
| Last updated | May 5th, 2017 - about 7 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 | 1144327735 | NPPES |
| New York | MEDICAID | 01667858 | |
| New York | Other | 000400090001 | |
| New York | Other | 7481509 |
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