Mar, Deborah
Mar, Deborah is an individual health care provider with primary practice located at Griffin Hospital 130 Division Street, Derby CT 06418. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mar, Deborah can be contacted via phone (203) 732-7550.Contact Information
Primary practice address
Griffin Hospital 130 Division Street
Derby CT 06418
Phone: (203) 732-7550
Fax: (203) 732-1550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 004874 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4874 | Connecticut |
Profile Details
| NPI number | 1255500955 |
|---|---|
| LBN Legal business name | Mar, Deborah |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2008 |
| Last updated | Jun 29th, 2022 - about 3 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 | 1255500955 | NPPES |
| Connecticut | MEDICAID | 004025219 | |
| Connecticut | Other | 004874 |
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