Estrada, Maryellen T
Estrada, Maryellen T is an sole proprietor health care provider with primary practice located at 240 Wardwell St Apt 24 , Stamford CT 06902-5241. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Estrada, Maryellen T can be contacted via phone (203) 962-4929.Contact Information
Primary practice address
240 Wardwell St Apt 24
Stamford CT 06902-5241
Phone: (203) 962-4929
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 001332 | Connecticut |
Profile Details
| NPI number | 1366190969 |
|---|---|
| LBN Legal business name | Estrada, Maryellen T |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2022 |
| Last updated | Mar 13th, 2022 - about 3 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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