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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers