Mazza, Deborah L.

Mazza, Deborah L. is an sole proprietor health care provider with primary practice located at 357 Whitney Ave Suite 301, New Haven CT 06511-2364. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mazza, Deborah L. can be contacted via phone (203) 772-3842.

Contact Information

Primary practice address
357 Whitney Ave Suite 301 New Haven CT 06511-2364
Phone: (203) 772-3842
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000225 Connecticut
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000313 Connecticut

Profile Details

NPI number 1750488524
LBN Legal business name Mazza, Deborah L.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1750488524 NPPES
Connecticut Other 000225 LCSW
Connecticut Other 052298 LCSW
Connecticut Other 140000225CT02 LCSW
Connecticut Other 000313 LCSW

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