Lacayo, Maria Loretto

Lacayo, Maria Loretto is an sole proprietor health care provider with primary practice located at 124 Woodridge Dr S , Stamford CT 06902-8334. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lacayo, Maria Loretto can be contacted via phone (203) 979-8974.

Contact Information

Primary practice address
124 Woodridge Dr S Stamford CT 06902-8334
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 002053 Connecticut

Profile Details

NPI number 1346521606
LBN Legal business name Lacayo, Maria Loretto
Credentials M.A., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2011
Last updated Aug 31st, 2011 - 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 1346521606 NPPES
Connecticut Other 46-2632131 TAX IDENTIFICATION NUMBER

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