Korrick, Gail Helene
Korrick, Gail Helene is an individual health care provider with primary practice located at 111 Park St Ste 1L, New Haven CT 06511-5472. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Korrick, Gail Helene can be contacted via phone (203) 776-8673.Contact Information
Primary practice address
111 Park St Ste 1L
New Haven CT 06511-5472
Phone: (203) 776-8673
Fax: (203) 787-6677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 000038 | Connecticut |
Profile Details
| NPI number | 1811992431 |
|---|---|
| LBN Legal business name | Korrick, Gail Helene |
| Credentials | MSSS / LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811992431 | NPPES |
| Connecticut | Other | 140000038CT-01 | ANTHEM BC/BS |
| Connecticut | Other | 004178259-00 | ANTHEM BC/BS |
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