Gill-Manville, Stephanie
Gill-Manville, Stephanie is an individual health care provider with primary practice located at 21 Montauk Avene , New London CT 06320-6397. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gill-Manville, Stephanie can be contacted via phone (860) 271-4700.Contact Information
Primary practice address
21 Montauk Avene
New London CT 06320-6397
Phone: (860) 271-4700
Fax: (860) 271-4797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 001752 | Connecticut |
Profile Details
| NPI number | 1376795112 |
|---|---|
| LBN Legal business name | Gill-Manville, Stephanie |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2008 |
| Last updated | Mar 3rd, 2016 - about 8 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 | 1376795112 | NPPES |
| Connecticut | MEDICAID | 004253027 |
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