Hoffman, Gayle

Hoffman, Gayle is an individual health care provider with primary practice located at 52 Beach Rd Suite 104, Fairfield CT 06824. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hoffman, Gayle can be contacted via phone (203) 254-2000.

Contact Information

Primary practice address
52 Beach Rd Suite 104 Fairfield CT 06824
Phone: (203) 254-2000
Fax: (203) 255-3126
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000247 Connecticut

Profile Details

NPI number 1700925450
LBN Legal business name Hoffman, Gayle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Sep 17th, 2010 - about 14 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 1700925450 NPPES
Connecticut MEDICAID 1320530

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