Harrison, Georgette Quackenbush
Harrison, Georgette Quackenbush is an individual health care provider with primary practice located at 103 W Broad St , Stamford CT 06902-3713. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Harrison, Georgette Quackenbush can be contacted via phone (203) 517-3376.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 001799 | Connecticut |
Profile Details
| NPI number | 1154509909 |
|---|---|
| LBN Legal business name | Harrison, Georgette Quackenbush |
| Credentials | EDM, LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2008 |
| Last updated | Apr 26th, 2016 - about 8 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 | 1154509909 | NPPES |
| Connecticut | MEDICAID | 004235918 |
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