Hernandez Rivera, Ananda
Hernandez Rivera, Ananda is an individual health care provider with primary practice located at 360 Bloomfield Ave Ste 301 , Windsor CT 06095-2700. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hernandez Rivera, Ananda can be contacted via phone (860) 940-0686.Contact Information
Primary practice address
360 Bloomfield Ave Ste 301
Windsor CT 06095-2700
Phone: (860) 940-0686
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3433 | Connecticut |
Profile Details
| NPI number | 1174819783 |
|---|---|
| LBN Legal business name | Hernandez Rivera, Ananda |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2011 |
| Last updated | Apr 2nd, 2024 - about 7 months 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 | 1174819783 | NPPES |
| Connecticut | MEDICAID | 004235918 |
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