Gaynor, Mark Leslie
Gaynor, Mark Leslie is an sole proprietor health care provider with primary practice located at 100 Whitney Ave , New Haven CT 06510. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gaynor, Mark Leslie can be contacted via phone (203) 865-0865.Contact Information
Primary practice address
100 Whitney Ave
New Haven CT 06510
Phone: (203) 865-0865
Fax: (203) 865-0093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 000930 | Connecticut |
Profile Details
| NPI number | 1275515009 |
|---|---|
| LBN Legal business name | Gaynor, Mark Leslie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jun 27th, 2018 - 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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