Perlmutter, Joel David

Perlmutter, Joel David is an individual health care provider with primary practice located at 158 Main St. Suite #12, Putnam CT 06260. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Perlmutter, Joel David can be contacted via phone (860) 928-6619.

Contact Information

Primary practice address
158 Main St. Suite #12 Putnam CT 06260
Fax: (978) 897-9797
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1354 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 602 Connecticut

Profile Details

NPI number 1922143569
LBN Legal business name Perlmutter, Joel David
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Mar 15th, 2017 - about 7 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 1922143569 NPPES
Connecticut MEDICAID 004008348

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