Guitar, Leonard G.

Guitar, Leonard G. is an sole proprietor health care provider with primary practice located at 154 Main St , Old Saybrook CT 06475-2373. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Guitar, Leonard G. can be contacted via phone (860) 358-3923.

Contact Information

Primary practice address
154 Main St Old Saybrook CT 06475-2373
Fax: (860) 510-0628
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 001434 Connecticut

Profile Details

NPI number 1164570339
LBN Legal business name Guitar, Leonard G.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2007
Last updated Jun 12th, 2013 - about 11 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 1164570339 NPPES
Connecticut MEDICAID 4118049

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