Pratt, Marilyn

Pratt, Marilyn is an sole proprietor health care provider with primary practice located at 1046 Fairfield Ave , Bridgeport CT 06605-1116. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Pratt, Marilyn can be contacted via phone (203) 330-6000.

Contact Information

Primary practice address
1046 Fairfield Ave Bridgeport CT 06605-1116
Phone: (203) 330-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2580 Connecticut

Profile Details

NPI number 1053508572
LBN Legal business name Pratt, Marilyn
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2007
Last updated Sep 29th, 2022 - about 2 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 1053508572 NPPES
Connecticut MEDICAID 004040655

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