Koerner, Fred E

Koerner, Fred E is an individual health care provider with primary practice located at 240 Bradley Street , New Haven CT 06510. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Koerner, Fred E can be contacted via phone (203) 785-8052.

Contact Information

Primary practice address
240 Bradley Street New Haven CT 06510
Phone: (203) 785-8052
Fax: (203) 773-1271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 000704 Connecticut
Behavioral Health & Social Service Providers / Clinical 103TC0700X 000704 Connecticut

Profile Details

NPI number 1861532673
LBN Legal business name Koerner, Fred E
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Sep 5th, 2014 - about 11 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 1861532673 NPPES
Connecticut Other 680001134 MEDICARE

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