Davenson, Wendy H.
Davenson, Wendy H. is an sole proprietor health care provider with primary practice located at 88 Church Hill Rd , Sandy Hook CT 06482-1110. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Davenson, Wendy H. can be contacted via phone (203) 426-1997.Contact Information
Primary practice address
88 Church Hill Rd
Sandy Hook CT 06482-1110
Phone: (203) 426-1997
Fax: (203) 426-1997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000076 | Connecticut |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 000591 | Connecticut |
Profile Details
| NPI number | 1790991248 |
|---|---|
| LBN Legal business name | Davenson, Wendy H. |
| Credentials | LMFT, LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1790991248 | NPPES |
| Connecticut | Other | 410000591CT02 | ANTHEM BCBS |
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