Schneider, Elisabeth Tullis
Schneider, Elisabeth Tullis is an sole proprietor health care provider with primary practice located at 5 Brook St Suite 1A, Darien CT 06820-4549. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Schneider, Elisabeth Tullis can be contacted via phone (203) 921-6559.Contact Information
Primary practice address
5 Brook St Suite 1A
Darien CT 06820-4549
Phone: (203) 921-6559
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 001230 | Connecticut |
Profile Details
NPI number | 1710075692 |
---|---|
LBN Legal business name | Schneider, Elisabeth Tullis |
Credentials | LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 10th, 2006 |
Last updated | Feb 22nd, 2016 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710075692 | NPPES |
Connecticut | MEDICAID | 004172920 |
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