Gresham, Karen M

Gresham, Karen M is an individual health care provider with primary practice located at 770 Saybrook Rd Bld B, Middletown CT 06457-4739. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gresham, Karen M can be contacted via phone (860) 347-3466.

Contact Information

Primary practice address
770 Saybrook Rd Bld B Middletown CT 06457-4739
Fax: (860) 343-5391
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 643 Connecticut

Profile Details

NPI number 1346225273
LBN Legal business name Gresham, Karen M
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346225273 NPPES
Other 410000643CT05 ANTHEM BC

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