Reardon, Karen

Reardon, Karen is an individual health care provider with primary practice located at 100 Bank St Suite 306, Seymour CT 06483-2806. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Reardon, Karen can be contacted via phone (203) 888-0462.

Contact Information

Primary practice address
100 Bank St Suite 306 Seymour CT 06483-2806
Fax: (203) 888-1465
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001140 Connecticut

Profile Details

NPI number 1558495267
LBN Legal business name Reardon, Karen
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated May 21st, 2015 - about 10 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 1558495267 NPPES
Other 11738661 CAQH
Other 549791 CAQH
MEDICAID 004257334 CAQH

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