Petrides, Michael William

Petrides, Michael William is an individual health care provider with primary practice located at 331 Main St , Norwich CT 06360-5836. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Petrides, Michael William can be contacted via phone (860) 889-8346.

Contact Information

Primary practice address
331 Main St Norwich CT 06360-5836
Phone: (860) 889-8346
Fax: (860) 889-2658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 000430 Connecticut

Profile Details

NPI number 1396801254
LBN Legal business name Petrides, Michael William
Credentials M.S.(R), ABD, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 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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