Hayden, Lisa C

Hayden, Lisa C is an individual health care provider with primary practice located at 8 Crescent St , Middletown CT 06457-3602. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hayden, Lisa C can be contacted via phone (860) 344-6394.

Contact Information

Primary practice address
8 Crescent St Middletown CT 06457-3602
Phone: (860) 344-6394
Fax: (860) 344-6748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002282 Connecticut

Profile Details

NPI number 1740241512
LBN Legal business name Hayden, Lisa C
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1740241512 NPPES
Connecticut Other 002282 CONN LIC #

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