Drake, Susan S
Drake, Susan S is an sole proprietor health care provider with primary practice located at 17 S Highland St , West Hartford CT 06119-1826. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Drake, Susan S can be contacted via phone (860) 978-3368.Contact Information
Primary practice address
17 S Highland St
West Hartford CT 06119-1826
Phone: (860) 978-3368
Fax: (860) 233-8110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 000888 | Connecticut |
Profile Details
| NPI number | 1043358880 |
|---|---|
| LBN Legal business name | Drake, Susan S |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1043358880 | NPPES |
| South Carolina | Other | 38520 | TRICARE |
| South Carolina | Other | 06111 | TRICARE |
| South Carolina | Other | 22771 | TRICARE |
| South Carolina | Other | 87726 | TRICARE |
| South Carolina | Other | 01260 | TRICARE |
| South Carolina | Other | 00060 | TRICARE |
| South Carolina | Other | 60054 | TRICARE |
| South Carolina | Other | SX071 | TRICARE |
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