Koehler, Martha

Koehler, Martha is an individual health care provider with primary practice located at 28 Crescent St , Middletown CT 06457-3654. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Koehler, Martha can be contacted via phone (860) 358-8760.

Contact Information

Primary practice address
28 Crescent St Middletown CT 06457-3654
Phone: (860) 358-8760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000328 Connecticut
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000079 Connecticut

Profile Details

NPI number 1497071682
LBN Legal business name Koehler, Martha
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2010
Last updated Apr 13th, 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 1497071682 NPPES
Connecticut Other 000328 CT LCSW LICENSE #

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