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
Phone: (860) 358-3923
Fax: (860) 510-0628
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164570339 | NPPES |
Connecticut | MEDICAID | 4118049 |
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