Green, Portia
Green, Portia is an sole proprietor health care provider with primary practice located at 130 Research Pkwy , Meriden CT 06450-7152. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Green, Portia can be contacted via phone (203) 235-1654.Contact Information
Primary practice address
130 Research Pkwy
Meriden CT 06450-7152
Phone: (203) 235-1654
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4746 | Connecticut |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 12540 | Connecticut |
Profile Details
NPI number | 1801444500 |
---|---|
LBN Legal business name | Green, Portia |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 27th, 2019 |
Last updated | Jan 18th, 2024 - about 11 months 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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