Mazure, Carolyn M
Mazure, Carolyn M is an individual health care provider with primary practice located at 135 College St Suite 220, New Haven CT 06510-2483. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mazure, Carolyn M can be contacted via phone (203) 688-9711.Contact Information
Primary practice address
135 College St Suite 220
New Haven CT 06510-2483
Phone: (203) 688-9711
Fax: (203) 688-9709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1497744031 |
|---|---|
| LBN Legal business name | Mazure, Carolyn M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Mar 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497744031 | NPPES |
| Connecticut | MEDICAID | 004174231 |
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