Kostas, Demetrios Nicolas
Kostas, Demetrios Nicolas is an sole proprietor health care provider with primary practice located at 185 Center Street Suite B, Wallingford CT 06492. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kostas, Demetrios Nicolas can be contacted via phone (203) 265-4580.Contact Information
Primary practice address
185 Center Street Suite B
Wallingford CT 06492
Phone: (203) 265-4580
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 005822 | Connecticut |
Profile Details
NPI number | 1790975092 |
---|---|
LBN Legal business name | Kostas, Demetrios Nicolas |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 1st, 2007 |
Last updated | Aug 1st, 2007 - about 18 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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