Ryan, Michele Devereux

Ryan, Michele Devereux is an individual health care provider with primary practice located at 437 Orange St , New Haven CT 06511-6202. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ryan, Michele Devereux can be contacted via phone (203) 215-0795.

Contact Information

Primary practice address
437 Orange St New Haven CT 06511-6202
Phone: (203) 215-0795
Fax: (203) 507-2754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 003430 Connecticut

Profile Details

NPI number 1417913757
LBN Legal business name Ryan, Michele Devereux
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Apr 9th, 2018 - about 7 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 1417913757 NPPES
Other 140003430CT02 ABCBS
Other 182659 ABCBS
Other P2372206 ABCBS
Other 2208920 ABCBS
Other 182659 ABCBS
Other 165883 ABCBS

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