Goodman, Cary K
Goodman, Cary K is an sole proprietor health care provider with primary practice located at 2335 Black Rock Tpke , Fairfield CT 06825. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goodman, Cary K can be contacted via phone (203) 334-7411.Contact Information
Primary practice address
2335 Black Rock Tpke
Fairfield CT 06825
Phone: (203) 334-7411
Fax: (203) 372-7596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2056 | Connecticut |
Profile Details
| NPI number | 1679668875 |
|---|---|
| LBN Legal business name | Goodman, Cary K |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| 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 | 1679668875 | NPPES |
| Connecticut | Other | 060002056CT01 | ANTEHM BC BS |
| Connecticut | Other | 353667 | ANTEHM BC BS |
| Connecticut | MEDICAID | 004250370 | ANTEHM BC BS |
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