Grunebaum, Andrew Moyer
Grunebaum, Andrew Moyer is an sole proprietor health care provider with primary practice located at 999 Summer St Suite 200, Stamford CT 06905-5546. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Grunebaum, Andrew Moyer can be contacted via phone (203) 324-9712.Contact Information
Primary practice address
999 Summer St Suite 200
Stamford CT 06905-5546
Phone: (203) 324-9712
Fax: (203) 357-9030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 001760 | Connecticut |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 001760 | Connecticut |
Profile Details
| NPI number | 1386782290 |
|---|---|
| LBN Legal business name | Grunebaum, Andrew Moyer |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Oct 5th, 2010 - about 14 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 | 1386782290 | NPPES |
| Connecticut | Other | 4309291 | AETNA PIN NUMBER |
| Connecticut | Other | 060001760CT01 | AETNA PIN NUMBER |
| Connecticut | Other | 6893902 | AETNA PIN NUMBER |
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