Jagoe-Seidl, Melissa

Jagoe-Seidl, Melissa is an sole proprietor health care provider with primary practice located at 1330 Post Rd Ste 3 , Fairfield CT 06824-6075. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jagoe-Seidl, Melissa can be contacted via phone (475) 489-8408.

Contact Information

Primary practice address
1330 Post Rd Ste 3 Fairfield CT 06824-6075
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C1188 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X 002960 Connecticut

Profile Details

NPI number 1952425993
LBN Legal business name Jagoe-Seidl, Melissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Jul 21st, 2022 - about 2 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 1952425993 NPPES
Other NONE NONE

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