O'Keefe, Spencer

O'Keefe, Spencer is an sole proprietor health care provider with primary practice located at 107 Horton Ave , Meriden CT 06450-6014. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. O'Keefe, Spencer can be contacted via phone (203) 631-5597.

Contact Information

Primary practice address
107 Horton Ave Meriden CT 06450-6014
Phone: (203) 631-5597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3252 Connecticut

Profile Details

NPI number 1902323744
LBN Legal business name O'Keefe, Spencer
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2017
Last updated Jul 19th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902323744 NPPES
Connecticut MEDICAID 008068631
Connecticut MEDICAID 008068669
Connecticut MEDICAID 008075035

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