Glynn, Colleen Elizabeth

Glynn, Colleen Elizabeth is an individual health care provider with primary practice located at 48 Salem St , Wakefield MA 01880-1838. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Glynn, Colleen Elizabeth can be contacted via phone (978) 810-5858.

Contact Information

Primary practice address
48 Salem St Wakefield MA 01880-1838
Phone: (978) 810-5858
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1447845490
LBN Legal business name Glynn, Colleen Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2021
Last updated Mar 2nd, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447845490 NPPES
Massachusetts MEDICAID 100203282189

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