Obomalayat, Lynn Marie
Obomalayat, Lynn Marie is an sole proprietor health care provider with primary practice located at 25 Cardinal Way , South Windsor CT 06074-3745. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Obomalayat, Lynn Marie can be contacted via phone (860) 281-1771.Contact Information
Primary practice address
25 Cardinal Way
South Windsor CT 06074-3745
Phone: (860) 281-1771
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 58003916 | Connecticut |
Profile Details
| NPI number | 1073162947 |
|---|---|
| LBN Legal business name | Obomalayat, Lynn Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2019 |
| Last updated | Apr 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073162947 | NPPES |
| Other | NONE | NONE |
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