Poupon, Mary Alice

Poupon, Mary Alice is an sole proprietor health care provider with primary practice located at 23 Split Rock Rd , Newtown CT 06470-2456. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Poupon, Mary Alice can be contacted via phone (203) 364-7000.

Contact Information

Primary practice address
23 Split Rock Rd Newtown CT 06470-2456
Phone: (203) 364-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 002708 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7903263 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X 002708 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X 7903263 New York

Profile Details

NPI number 1073949509
LBN Legal business name Poupon, Mary Alice
Credentials NPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2013
Last updated Sep 16th, 2013 - about 12 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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