Poulos, Elaine A
Poulos, Elaine A is an individual health care provider with primary practice located at 64 Robbins St Crisis Intervention Center, Waterbury CT 06708-2613. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Poulos, Elaine A can be contacted via phone (203) 573-6500.Contact Information
Primary practice address
64 Robbins St Crisis Intervention Center
Waterbury CT 06708-2613
Phone: (203) 573-6500
Fax: (203) 573-6792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 000721 | Connecticut |
Profile Details
| NPI number | 1124000690 |
|---|---|
| LBN Legal business name | Poulos, Elaine A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| 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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